| Knox County Family Practice Clinic | |
| 39 Cumberland Gap Plz Gray KY 40734-4536 | |
| (606) 528-2850 | |
| (606) 528-1131 | 
| Full Name | Knox County Family Practice Clinic | 
|---|---|
| Speciality | Family Medicine | 
| Location | 39 Cumberland Gap Plz, Gray, Kentucky | 
| Authorized Official Name and Position | Robert A. Carter (PRESIDENT) | 
| Authorized Official Contact | 6065280283 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Knox County Family Practice Clinic Po Box 1125 Corbin KY 40702-1125 Ph: (606) 528-0283 | Knox County Family Practice Clinic 39 Cumberland Gap Plz Gray KY 40734-4536 Ph: (606) 528-2850 | 
| NPI Number | 1366494080 | 
|---|---|
| Provider Enumeration Date | 05/17/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366494080 | NPI | - | NPPES | 
| 35001163 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 900118 (Kentucky) | Primary |