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TATES CREEK FAMILY PRACTICE PLC NPI 1710019674


NPI Information

NPI: 1710019674
Provider Name: TATES CREEK FAMILY PRACTICE, PLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4071 TATES CREEK CENTRE DR
SUITE 100
LEXINGTON, KY
ZIP 40517
Phone: (859) 273-3888
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TATES CREEK FAMILY PRACTICE, PLC is a family medicine in Lexington, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TATES CREEK FAMILY PRACTICE, PLC NPI is 1710019674. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4071 TATES CREEK CENTRE DR
SUITE 100
LEXINGTON, KY
ZIP 40517-062
Phone: (859) 273-3888
Fax: (859) 977-0170

The provider's authorized official is Gayle Thomas .
The authorized official title is Practice Manager and has the following contact phone number (859) 273-3888.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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