Advanced Family Medical Clinic Liberty, NPI 1023545241
Rural Health Clinic/Center in Liberty, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1023545241 |
| NPI Entity Type | Organization |
| Provider Name | Advanced Family Medical Clinic Liberty |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 84 Hustonville St, Liberty, KY, US |
| Provider Mailing Address | 84 Hustonville St, Liberty, KY, US, 425393469 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. MD Khursheed Akram Siddiqui |
| Official Position | MEDICAL DIRECTOR |
| Phone | 606-303-9011 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Rural Health Clinic/Center |
| Classification | |
| Group | |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 28741 | KY | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 7100503210 | KY | MEDICAID | 05 |
| 65942906 | KY | MEDICAID | 05 |
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