| Familyfirst Medicine, LLC | |
|
933 29th St Ashland KY 41101-3021 | |
| (606) 205-8768 | |
| Not Available |
| Full Name | Familyfirst Medicine, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 933 29th St, Ashland, Kentucky |
| Authorized Official Name and Position | Gabriel Jacob Henderson (OWNER) |
| Authorized Official Contact | 5025146040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Familyfirst Medicine, LLC 933 29th St Ashland KY 41101-3021 Ph: (606) 393-1115 | Familyfirst Medicine, LLC 933 29th St Ashland KY 41101-3021 Ph: (606) 205-8768 |
| NPI Number | 1801602214 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Medicare PECOS PAC ID | 6204342207 |
|---|---|
| Medicare Enrollment ID | O20250717003103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801602214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Karen a Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972890101 PECOS PAC ID: 2264605567 Enrollment ID: I20120419000560 |
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