Valencia Family Practice LLC

NPI #1477781904 in Middlesboro, Kentucky

Provider Information

NPI Number: 1477781904
Entity Type: Organization
Organization Name: Valencia Family Practice LLC
Primary Specialty: General Practice
Enumeration Date: Jun 23, 2009
Last Updated: Jun 23, 2009

Practice Location

Address: 3503 CUMBERLAND AVE
City: Middlesboro
State: Kentucky
ZIP Code: 40965-2611
Phone: (606) 248-7920

Authorized Official

Name: MS. KRISTI M. PARTIN
Title: C.E.O.
Phone: (606) 545-4866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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