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

Crestwood Family Medicine

Organization Family Medicine Physician · NPI 1427063379

Crestwood Family Medicine is a Family Medicine Physician in Crestwood, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006

Practice location Address checks out

6106 Crestwood Sta Ste A
Crestwood, KY 40014-9473
Phone: (502) 243-3161
Fax: (502) 243-3164
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02614 (KY)

Record details

NPI number1427063379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Hefner — Owner · (502) 243-3161
NPI enumeratedJuly 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6106 Crestwood Sta Ste A, Crestwood, KY 40014-9473

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