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

Tri State Family Medical Center, LLC

Organization Family Medicine Physician · NPI 1194959452

Tri State Family Medical Center, LLC is a Family Medicine Physician in Louisa, Kentucky. Licensed in Kentucky. Registered with an NPI since 2009.

Licensed in
KY
In the registry since
2009
Specialties on file
4
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

2583 Highway 644 Ste 1
Louisa, KY 41230-9436
Phone: (606) 638-3131
Fax: (606) 638-3139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25469 (KY)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 25469 (KY)
Urgent Care Clinic/Center Taxonomy 261QU0200X · Licence 25469
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3007167 (KY)

Record details

NPI number1194959452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janice Gauze — Vice President · (606) 638-3131
NPI enumeratedMay 14, 2009
Last updated in NPPESDecember 9, 2014
Mailing address2583 Highway 644 Ste 1, Louisa, KY 41230-9436

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