Family Practice Clinic Psc

NPI #1467454041 in Marion, Kentucky

Provider Information

NPI Number: 1467454041
Entity Type: Organization
Organization Name: Family Practice Clinic Psc
Primary Specialty: Family Medicine
Enumeration Date: Aug 12, 2005
Last Updated: Feb 9, 2011

Practice Location

Address: 518 WEST GUM STREET
City: Marion
State: Kentucky
ZIP Code: 42064-1516
Phone: (270) 965-5238

Authorized Official

Name: HOWARD G MADDUX, MD
Title: PRESIDENT
Phone: (270) 965-5238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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