Advanced Family Medical Clinic Mount Vernon

LBN: Advanced Family Medical Clinic Mount Vernon
Advanced Family Medical Clinic Mount Vernon is an health care organization with primary practice located at 79 Sarahs Ln , Somerset KY 42503-2789. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Advanced Family Medical Clinic Mount Vernon can be contacted via phone (859) 691-0201, or through Siddiqui, Khursheed Akram via phone (859) 691-0201.

Contact Information

Primary practice address
79 Sarahs Ln Somerset KY 42503-2789
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 1578090403
LBN Legal business name Advanced Family Medical Clinic Mount Vernon
DBA Doing business as
Authorized official Siddiqui, Khursheed Akram Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 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 1578090403 NPPES
Kentucky MEDICAID 65942906

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