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

Southeast Family Practice PSC

Organization Rural Health Clinic/Center · NPI 1033600416

Southeast Family Practice PSC is a Rural Health Clinic/Center in Pineville, Kentucky. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

222 W Tennessee Ave
Pineville, KY 40977-1737
Phone: (606) 499-5135
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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 Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1033600416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trampas Nolan — Aprn / Owner · (606) 654-6210
NPI enumeratedMay 22, 2018
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023
Mailing address222 W Tennessee Ave, Pineville, KY 40977-1737

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