| Family Practice Care Llc | |
|
700 Cassidy Ave Fredonia KY 42411 | |
| (270) 545-3386 | |
| (270) 545-3712 |
| Full Name | Family Practice Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 700 Cassidy Ave, Fredonia, Kentucky |
| Authorized Official Name and Position | Scott R Graham (OWNER) |
| Authorized Official Contact | 2705453386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Care Llc Po Box 195 700 Cassidy Ave Fredonia KY 42411 Ph: (270) 545-3386 | Family Practice Care Llc 700 Cassidy Ave Fredonia KY 42411 Ph: (270) 545-3386 |
| NPI Number | 1407950538 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407950538 | NPI | - | NPPES |
| 65941783 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Caldwell County Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Cassidy Ave, Fredonia, KY 42411 Phone: 270-545-3386 Fax: 270-545-3712 | |
Fredonia Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21234 Marion Rd, Fredonia, KY 42411 Phone: 270-545-2929 |