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MOUNTAIN VIEW FAMILY PRACTICE PLLC NPI 1265621213


NPI Information

NPI: 1265621213
Provider Name: MOUNTAIN VIEW FAMILY PRACTICE PLLC

Doing Business As: MOUNTAIN VIEW FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
272 LONDON MOUNTAIN VIEW DR
LONDON, KY
ZIP 40741
Phone: (606) 877-2850
Get Directions

MOUNTAIN VIEW FAMILY PRACTICE PLLC is a family medicine in London, 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. MOUNTAIN VIEW FAMILY PRACTICE PLLC NPI is 1265621213. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mountain View Family Practice.

The provider's business location address is:

272 LONDON MOUNTAIN VIEW DR
LONDON, KY
ZIP 40741-601
Phone: (606) 877-2850
Fax: (606) 877-2857

The provider's authorized official is Samuel Duane Kreis .
The authorized official title is Ceo/doctor and has the following contact phone number (606) 877-2850.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 9/17/2019.


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
1363AM0700XPhysician AssistantMedicalNo
2363L00000XNurse PractitionerNo
3207Q00000XFamily MedicineYes

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
17100140520MEDICAIDKENTUCKY
265944589MEDICAIDKENTUCKY
3DE2149OTHERKENTUCKYRAILROAD MEDICARE
4P00278839OTHERKENTUCKYRAILROAD MEDICARE

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: 5/5/2024

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