| Independence Family Practice P S C | |
|
5290 Madison Pike Ste 100 Independence KY 41051 | |
| (859) 363-8600 | |
| (859) 960-0003 |
| Full Name | Independence Family Practice P S C |
|---|---|
| Speciality | Family Medicine |
| Location | 5290 Madison Pike, Independence, Kentucky |
| Authorized Official Name and Position | John Franklin Allnutt (PRESIDENT) |
| Authorized Official Contact | 8593638600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Family Practice P S C 5290 Madison Pike Ste 100 Independence KY 41051 Ph: (859) 363-8600 | Independence Family Practice P S C 5290 Madison Pike Ste 100 Independence KY 41051 Ph: (859) 363-8600 |
| NPI Number | 1013192376 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013192376 | NPI | - | NPPES |
| 000000370204 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22978 (Kentucky) | Primary |