| Stamping Ground Family Clinic | |
|
3501 Main Street Stamping Ground KY 40379-0179 | |
| (502) 535-5686 | |
| Not Available |
| Full Name | Stamping Ground Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3501 Main Street, Stamping Ground, Kentucky |
| Authorized Official Name and Position | Cedric Craig (PRESIDENT) |
| Authorized Official Contact | 5025355686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stamping Ground Family Clinic Po Box 179 Stamping Ground KY 40379-0179 Ph: (502) 535-5686 | Stamping Ground Family Clinic 3501 Main Street Stamping Ground KY 40379-0179 Ph: (502) 535-5686 |
| NPI Number | 1386867190 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386867190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20133 (Kentucky) | Primary |
Kentucky Mso Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3501 Main St, Stamping Ground, KY 40379 Phone: 502-535-5686 Fax: 502-535-5585 |