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

Family Practice of Kentucky LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1972979540

Family Practice of Kentucky LLC is an Addiction (Substance Use Disorder) Counselor in Manchester, Kentucky. Licensed in Kentucky. Registered with an NPI since 2015.

Licensed in
KY
In the registry since
2015
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21 Crestview Dr
Manchester, KY 40962-7012
Phone: (606) 594-1769
Fax: (606) 596-0473
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
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 900342 (KY)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Nurse Practitioner Taxonomy 363L00000X (KY)
Family Nurse Practitioner Taxonomy 363LF0000X (KY)

Record details

NPI number1972979540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eva Edwards — Owner · (606) 594-1769
NPI enumeratedAugust 18, 2015
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing address204 Town Branch Rd, Manchester, KY 40962-1322

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