Family Care Of Northern Kentucky, PLLC
Nurse Practitioner, Family in Edgewood, KY. Organization (NPI-2).
NPI number1295949667
StatusActive
Last updated in NPPESOct 5, 2007
Details
- NPI
- 1295949667
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Care Of Northern Kentucky, PLLC
- Organization subpart
- No
- Enumeration date
- May 9, 2007
- Last updated
- Oct 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Other names
- Premier Family Medicine (Doing Business As)
Practice location
830 Thomas More PkwySte 203
Edgewood, KY 41017-5102
Phone 859-341-5757 · Fax 859-331-4757
Mailing address
830 Thomas More PkwySte 203
Edgewood, KY 41017-5102
Phone 859-341-5757 · Fax 859-331-4757
Authorized official
Weckenbrock P Gregory
Partner
8593415757
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