| NPI | 1932611019 |
|---|---|
| Doing Business As | FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERYL LYNN PITTMAN Member/Owner 859-893-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |