Healthcare Provider Details

I. General information

NPI: 1720059090
Provider Name (Legal Business Name): FAMILY MEDICINE CLINIC OF DANVILLE, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 E LEXINGTON AVE
DANVILLE KY
40422-1719
US

IV. Provider business mailing address

640 E LEXINGTON AVE
DANVILLE KY
40422-1719
US

V. Phone/Fax

Practice location:
  • Phone: 859-236-1250
  • Fax: 859-236-9776
Mailing address:
  • Phone: 859-236-3957
  • Fax: 833-760-3767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SARAH HEMPEL
Title or Position: TREASURER
Credential:
Phone: 859-583-6923