Healthcare Provider Details

I. General information

NPI: 1902856123
Provider Name (Legal Business Name): SHEPHERDSVILLE FAMILY HEALTH CLINIC, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 11/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 HIGHWAY 44 E SUITE 1
SHEPHERDSVILLE KY
40165-6081
US

IV. Provider business mailing address

181 HIGHWAY 44 E SUITE 1
SHEPHERDSVILLE KY
40165-6081
US

V. Phone/Fax

Practice location:
  • Phone: 502-921-1231
  • Fax: 502-921-1275
Mailing address:
  • Phone: 502-921-1231
  • Fax: 502-921-1275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN MARIE SCHEICH
Title or Position: OWNER
Credential: APRN
Phone: 502-921-1231