Provider Demographics
NPI:1225648819
Name:CAPITAL FAMILY PHYSICIANS PSC
Entity Type:Organization
Organization Name:CAPITAL FAMILY PHYSICIANS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMPIER
Authorized Official - Suffix:
Authorized Official - Credentials:CMPE
Authorized Official - Phone:502-783-6262
Mailing Address - Street 1:1001 LEAWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-3375
Mailing Address - Country:US
Mailing Address - Phone:502-783-6262
Mailing Address - Fax:502-227-1871
Practice Address - Street 1:512 E STEPHENS ST
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:KY
Practice Address - Zip Code:40347-1112
Practice Address - Country:US
Practice Address - Phone:859-846-5784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL FAMILY PHYSICIANS PSC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty