Family Care Center Magnolia
Organization Active NPI Family Medicine Physician · Magnolia, KY
NPI 1194775734 · NPPES record last updated Jul 29, 2010
Key facts
- NPI
- 1194775734
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FAMILY CARE CENTER MAGNOLIA
- Practice address
- 432 Mill Rd
Magnolia, KY 42757-7862 - Phone
- (270) 324-3241
- Fax
- (270) 324-3244
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeff D Kingery
- Title
- Director
- Phone
- (270) 706-1900
Practitioners 3
-
Kelley Carrico-Welch, ARNP
-
Steven H Preston, M.D.
-
Anna M Louiso, ARNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
432 Mill Rd
Magnolia, KY 42757-7862
Mailing address
PO Box 2309
Elizabethtown, KY 42702-2309
Phone (270) 706-1131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65935678 | Medicaid | KY | |
| DA0342 | Other | KY | MEDICARE RAILROAD |
Other providers in Magnolia, KY
All providers in Magnolia, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.