NPI 1043253925

Bullitt County Family Care Center, PLLC

Organisation Preferred Provider Organization Shepherdsville, KY

Practice location

Address: 1578 Highway 44 East Suite 2, Shepherdsville, KY 40165
Phone: (502) 955-5200
Fax: (502) 543-5244
Mailing address: P.O. Box 1069, Shepherdsville, KY 40165

Authorised official

Name: Charlotte Kay Ingwersen
Title: President
Phone: (502) 955-5200

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 32033 (KY)

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Registry record

NPI: 1043253925
Entity type: Organization
NPI issued: 14 Jun 2006
Record last updated: 20 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.