| Valencia Family Practice Llc | |
|
3503 Cumberland Ave Middlesboro KY 40965-2611 | |
| (606) 248-7920 | |
| (606) 248-7947 |
| Full Name | Valencia Family Practice Llc |
|---|---|
| Speciality | General Practice |
| Location | 3503 Cumberland Ave, Middlesboro, Kentucky |
| Authorized Official Name and Position | Kristi M. Partin (C.E.O.) |
| Authorized Official Contact | 6065454866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valencia Family Practice Llc 3503 Cumberland Ave Middlesboro KY 40965-2611 Ph: (606) 248-7920 | Valencia Family Practice Llc 3503 Cumberland Ave Middlesboro KY 40965-2611 Ph: (606) 248-7920 |
| NPI Number | 1477781904 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 06/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477781904 | NPI | - | NPPES |
| 64192693 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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