Faith Healthcare, Inc.

NPI #1902672918 in Stanford, Kentucky

Provider Information

NPI Number: 1902672918
Entity Type: Organization
Organization Name: Faith Healthcare, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: FAITH HEALTHCARE INC
Primary Specialty: Family Medicine
Enumeration Date: Nov 30, 2023
Last Updated: Nov 30, 2023

Practice Location

Address: 100 JAY ST
City: Stanford
State: Kentucky
ZIP Code: 40484-7511
Phone: (606) 365-1547

Authorized Official

Name: LOGAN ROY ANTLE
Title: CEO
Phone: (606) 425-5768

Specialties & Taxonomy Codes

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

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