| Georgetown Family Practice | |
|
1138 Lexington Rd Suite 130 Georgetown KY 40324-9672 | |
| (502) 867-0420 | |
| (502) 867-0222 |
| Full Name | Georgetown Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1138 Lexington Rd, Georgetown, Kentucky |
| Authorized Official Name and Position | Timothy D Vaughn (VICE PRESIDENT) |
| Authorized Official Contact | 6153728500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Family Practice 1138 Lexington Rd Suite 130 Georgetown KY 40324-9672 Ph: (502) 867-0420 | Georgetown Family Practice 1138 Lexington Rd Suite 130 Georgetown KY 40324-9672 Ph: (502) 867-0420 |
| NPI Number | 1710252622 |
|---|---|
| Provider Enumeration Date | 03/12/2012 |
| Last Update Date | 03/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710252622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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