| Family Practice Of Louisa, Pllc | |
|
40 Medical Hts Louisa KY 41230-9603 | |
| (606) 638-0033 | |
| Not Available |
| Full Name | Family Practice Of Louisa, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 40 Medical Hts, Louisa, Kentucky |
| Authorized Official Name and Position | Jeremy Klein (SOLE MEMBER) |
| Authorized Official Contact | 6066380033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Louisa, Pllc Po Box 730 Louisa KY 41230-0730 Ph: () - | Family Practice Of Louisa, Pllc 40 Medical Hts Louisa KY 41230-9603 Ph: (606) 638-0033 |
| NPI Number | 1083976989 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 06/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083976989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 31770 (Kentucky) | Primary |
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