| Organization Name: | FAMILY CARE CLINIC, PLLC |
| NPI Number: | 1285655167 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA JEAN DRENNEN (OWNER) |
| Mailing Address: | 644 Maysville Rd Suite 8 Mt Sterling |
| State: | KY US |
| Postal Code: | 403539464 |
| Phone Number: | 8594986006 |
| Fax Number: | 8594988006 |
| NPI Enumeration Date: | 07/23/2006 |
| NPI Last Update Date: | 10/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 900143 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |