SOUTHEAST FAMILY PRACTICE PSC is a rural health clinic center in Pineville, KY. SOUTHEAST FAMILY PRACTICE PSC NPI is 1033600416. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
222 W TENNESSEE AVE PINEVILLE, KY ZIP 40977-737 Phone: (606) 499-5135
The provider's authorized official is Trampas S Nolan . The authorized official title is Aprn / Owner and has the following contact phone number (606) 654-6210.
The CLIA number assigned to this NPI record is 18D2150286 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/22/2018 and was last updated on 12/8/2023.
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:
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: 11/21/2025
NPI Synchronization or Removal
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