Advanced Family Medical Clinic Liberty

LBN: Advanced Family Medical Clinic Liberty
Advanced Family Medical Clinic Liberty is an health care organization with primary practice located at 84 Hustonville St , Liberty KY 42539-3456. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Advanced Family Medical Clinic Liberty can be contacted via phone (859) 691-0201, or through Siddiqui, Khursheed Akram via phone (859) 691-0201.

Contact Information

Primary practice address
84 Hustonville St Liberty KY 42539-3456
Phone: (859) 691-0201
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Siddiqui, Khursheed Akram Doctor of Medicine (MD)
Phone: (859) 691-0201

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28741 Kentucky
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1023545241
LBN Legal business name Advanced Family Medical Clinic Liberty
DBA Doing business as
Authorized official Siddiqui, Khursheed Akram Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2017
Last updated Apr 20th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023545241 NPPES
Kentucky MEDICAID 65942906
Kentucky MEDICAID 7100503210

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