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Organization

FAMILY MEDICAL SPECIALTY CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUNE E ABADILLA M.D (PRESIDENT)
(606) 693-0199
Entity
Organization

Contact information

Practice address
12 JACKSON HEIGHTS DRIVE, FAMILY MEDICAL & SPECIALTY CLINIC, LLC, JACKSON, KY 41339
(606) 693-0199
(606) 666-9480
Mailing address
12 JACKSON HEIGHTS DRIVE, JACKSON, KY 41339
(606) 693-0199
(606) 666-9480

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31000904
KY
Enumeration date
12/04/2006
Last updated
09/25/2022
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