| 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 |
Freeman Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10755 N Us Highway 25e, Gray, KY 40734 Phone: 606-258-8050 Fax: 606-258-8994 |