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Contact Information

ADVANCED FAMILY CLINIC
1619 FOXHAVEN DR # 1617
RICHMOND, KY40475-1056
 Phone: 859-661-1930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY CLINIC · (Female)

NPI # 1225593346
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2019
Last updated 02/02/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 7100401390
  • KY Medicaid 7100422330
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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