COMPLETE FAMILY CARE PRACTITIONERS NPI 1043557473

NPI Information

  • NPI: 1043557473
  • Provider Name: COMPLETE FAMILY CARE PRACTITIONERS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: COMPLETE FAMILY CARE
  • CLIA Number: 18D2050896
  • Address: 1065 OLD EKRON RD
    BRANDENBURG, KY
    ZIP 40108
  • Phone: (270) 422-2200

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NPI Details

COMPLETE FAMILY CARE PRACTITIONERS is a family nurse practitioner in Brandenburg, KY. COMPLETE FAMILY CARE PRACTITIONERS NPI is 1043557473. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Complete Family Care.

The provider's business location address is:

1065 OLD EKRON RD
BRANDENBURG, KY
ZIP 40108-735
Phone: (270) 422-2200

The provider's authorized official is Laura Kelly White .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (270) 422-2200.

The CLIA number assigned to this NPI record is 18D2050896 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2013 and was last updated on 10/25/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K078000MEDICARE PINKENTUCKY
27100234400MEDICAIDKENTUCKY

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: 11/21/2025

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