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FAMILY PRACTICE CARE LLC
NPI 1558402867
Nurse Practitioner - Family in Fredonia, KY

Active since February 09, 2007
700 CASSIDY AVE, FREDONIA, KY 42411(270) 545-3386(270) 545-3712 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Practice Care Llc NPPES

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

FAMILY PRACTICE CARE LLC (NPI 1558402867) is a healthcare organization registered as a family in Fredonia, Kentucky and active in the NPI registry since February 2007. The organization lists Scott R Graham, Owner, as its authorized official.

NPPES Registry Identity

NPI1558402867
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAMILY PRACTICE CARE LLC
Location Address700 CASSIDY AVEFredonia, KY 42411
Mailing AddressPo Box 195, 700 Cassidy AveFredonia, KY 42411 · (270) 545-3386 · Fax (270) 545-3712
Phone(270) 545-3386
Fax(270) 545-3712
Organization SubpartNo
Authorized OfficialScott R GrahamOwner · (270) 545-3386
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJune 26, 2014
✔ NPI 1558402867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3001776
700 CASSIDY AVE, Fredonia, KY 42411
Open in Google Maps ↗

Other Identifiers 2

Medicaid78903812KY
Medicare PIN9335 PTANKY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORNER HOMECARE INC
Pharmacy (Community/Retail Pharmacy)
700 CASSIDY AVE
FREDONIA, KY 42411
Caldwell County (270) 545-3413
MRS. BEVERLY ANNETT JONES NURSE PRACTITIONER
Nurse Practitioner (Family)
700 CASSIDY AVE
FREDONIA, KY 42411
Caldwell County (270) 545-3386
SCOTT R GRAHAM MD
Family Medicine
700 CASSIDY AVE
FREDONIA, KY 42411
Caldwell County (270) 545-3386
CALDWELL COUNTY HOSPITAL INC
Clinic/Center (Rural Health)
700 CASSIDY AVE
FREDONIA, KY 42411
Caldwell County (270) 545-3386
FAMILY PRACTICE CARE LLC
Family Medicine
700 CASSIDY AVE
FREDONIA, KY 42411
Caldwell County (270) 545-3386
EASYCARE INC
Pharmacy (Long Term Care Pharmacy)
700 CASSIDY AVE
FREDONIA, KY 42411
Caldwell County (270) 545-3413
EASYCARE INC
Pharmacy (Community/Retail Pharmacy)
700 CASSIDY AVE
FREDONIA, KY 42411
Caldwell County (270) 545-3413
SUNNY NEAL APRN
Nurse Practitioner
700 CASSIDY AVE
FREDONIA, KY 42411
Caldwell County (270) 545-3386

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 Family Practice Care LLC's NPI number?

The NPI number for Family Practice Care LLC is 1558402867. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Family Practice Care LLC located?

Family Practice Care LLC is located at 700 Cassidy Ave, Fredonia, KY 42411. The listed phone number is (270) 545-3386.

What is Family Practice Care 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 Family Practice Care LLC was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.