Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Family Medical Clinic Liberty

Organization Family Medicine Physician · NPI 1023545241

Advanced Family Medical Clinic Liberty is a Family Medicine Physician in Liberty, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

84 Hustonville St
Liberty, KY 42539-3469
Phone: (606) 706-7473
Fax: (606) 303-9170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X · Licence 28741 (KY)

Record details

NPI number1023545241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khursheed Siddiqui — Medical Director · (859) 691-0201
NPI enumeratedMay 18, 2017
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing addressPo Box 2369, Danville, KY 40423-2369

Other providers in Liberty