| NPI | 1679053581 |
|---|---|
| Doing Business As | FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERYL L PITTMAN Member/Owner 859-893-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-12-29 |