STAMPING GROUND - GEORGETOWN FAMILY CLINIC
NPI 1417224585
Nurse Practitioner - Family in Stamping Ground, KY

Active since November 17, 2011
3501 MAIN ST, STAMPING GROUND, KY 40379(502) 535-5686(502) 535-5585 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stamping Ground - Georgetown Family Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAMPING GROUND - GEORGETOWN FAMILY CLINIC (NPI 1417224585) is a healthcare organization registered as a family in Stamping Ground, Kentucky and active in the NPI registry since November 2011. The organization lists Jess N Judy, President, as its authorized official.

NPPES Registry Identity

NPI1417224585
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKENTUCKY MSO LLC
Location Address3501 MAIN STStamping Ground, KY 40379-9631
Mailing Address3501 Main StStamping Ground, KY 40379-9631 · (502) 535-5686 · Fax (502) 535-5585
Fax(502) 535-5585
Organization SubpartNo
Authorized OfficialJess N JudyPresident · (615) 372-8500
Enumeration DateNovember 17, 2011
Last NPPES UpdateDecember 19, 2014
NPI 1417224585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
3501 MAIN ST, Stamping Ground, KY 40379

Other Names 1

Doing Business AsStamping Ground - Georgetown Family Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentucky Mso LLC's NPI number?

The NPI number for Kentucky Mso LLC is 1417224585. It was assigned to this organization in the NPPES registry on November 17, 2011. The provider is doing business as Stamping Ground - Georgetown Family Clinic.

Where is Kentucky Mso LLC located?

Kentucky Mso LLC is located at 3501 Main St, Stamping Ground, KY 40379. The listed phone number is (502) 535-5686.

What is Kentucky Mso LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kentucky Mso LLC was last updated on December 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.