East Side Family Medicine, Psc

NPI #1518073105 in Frankfort, Kentucky

Provider Information

NPI Number: 1518073105
Entity Type: Organization
Organization Name: East Side Family Medicine, Psc
Primary Specialty: Family Medicine
Enumeration Date: Aug 23, 2006
Last Updated: Dec 9, 2011

Practice Location

Address: 601 VERSAILLES RD
City: Frankfort
State: Kentucky
ZIP Code: 40601-3857
Phone: (502) 695-3946

Authorized Official

Name: DR. ALLEN COURTNEY HADDIX, M.D
Title: PRESIDENT
Phone: (502) 695-3946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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