Organization
FAMILY MEDICAL SPECIALTY CLINIC PLLC
Active
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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