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

Mountain Family Practice Clinic of Manchester Inc

Organization Family Medicine Physician · NPI 1689919078

Mountain Family Practice Clinic of Manchester Inc is a Family Medicine Physician in Manchester, Kentucky. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 Manchester Sq Shopping Ctr
Manchester, KY 40962-7289
Phone: (606) 596-0701
Fax: (606) 596-0703
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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

Record details

NPI number1689919078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Cox — Owner/Operator · (859) 358-4222
NPI enumeratedDecember 11, 2012
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing addressPo Box 267, Richmond, KY 40476-0267

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