| Family Care Center Magnolia | |
|
432 Mill Rd Magnolia KY 42757-7862 | |
| (270) 324-3241 | |
| (270) 324-3244 |
| Full Name | Family Care Center Magnolia |
|---|---|
| Speciality | Family Medicine |
| Location | 432 Mill Rd, Magnolia, Kentucky |
| Authorized Official Name and Position | Jeff D Kingery (DIRECTOR) |
| Authorized Official Contact | 2707061900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center Magnolia Po Box 2309 Elizabethtown KY 42702-2309 Ph: (270) 706-1131 | Family Care Center Magnolia 432 Mill Rd Magnolia KY 42757-7862 Ph: (270) 324-3241 |
| NPI Number | 1194775734 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 07/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194775734 | NPI | - | NPPES |
| 65935678 | Medicaid | KY | |
| DA0342 | Other | KY | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |