Organization Active NPI

Kentucky Family Medicine

  • Family Medicine Physician
  • Corbin, KY
National Provider Identifier
1629694005
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KENTUCKY FAMILY MEDICINE
Practice address
706 Maynor St
Corbin, KY 40701-1777
Phone
(606) 344-9834
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Catherine P Stokes
Title
President
Phone
(606) 344-9834

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

706 Maynor St
Corbin, KY 40701-1777

Mailing address

706 Maynor St
Corbin, KY 40701-1777
Phone (606) 344-9834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200717002355 KY Part A Provider - Rural Health Clinic 0547683328 Practice locations: Corbin, KY
O20200731001884 KY Part B Supplier - Clinic/Group Practice 0547683328 Receives reassigned benefits from 2 practitioners
Practice locations: Corbin, KY

Rural health clinic certification: CCN B03837

Legal name
KENTUCKY FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 1, 2021
Last certification
Mar 25, 2021
Ownership / control type
1A
Organization structure
LLCProprietary
Incorporated
Apr 12, 2020 in KY
Enrollment address
706 Maynor St
Corbin, KY 40701-1777

National Provider Directory

National Provider Directory
Tax ID family
Kentucky Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher Todd Stokes Individual 5% Or Greater Direct Ownership Interest Jun 1, 2020 51%
General Partnership Interest Jun 1, 2020
Catherine Stokes Individual 5% Or Greater Direct Ownership Interest May 27, 2020 49%
General Partnership Interest Jun 1, 2020
Operational/Managerial ControlMember, President Jun 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1629694005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 MAYNOR ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011777",
            "telephone_number": "606-344-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 MAYNOR ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011777",
            "telephone_number": "606-344-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-344-9834",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.