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General NPI Number Information
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NPI Number | 1225648819
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Entity Type | Organization
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Legal Business Name | CAPITAL FAMILY PHYSICIANS PSC
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 512 E STEPHENS ST
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City | MIDWAY
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State | KY
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Zip | 40347-1112
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Country | US
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Telephone | 859-846-5784
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 LEAWOOD DR
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City | FRANKFORT
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State | KY
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Zip | 40601-3375
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Country | US
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Telephone | 502-783-6262
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Fax | 502-227-1871
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Authorized Official
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Title or Position | COO
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Name | MS. CLAUDIA DAMPIER
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Credential | CMPE
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Telephone | 502-783-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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