Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Family Medical Clinic Liberty

Organization Family Medicine Physician · NPI 1023545241

Advanced Family Medical Clinic Liberty provides Family Medicine Physician services in Liberty, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

84 Hustonville St
Liberty, KY 42539-3469
Phone: (606) 706-7473
Fax: (606) 303-9170
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
Family Medicine Physician Taxonomy 207Q00000X · Licence 28741 (KY)

Record details

NPI number1023545241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khursheed Siddiqui — Medical Director · (859) 691-0201
NPI enumeratedMay 18, 2017
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing addressPo Box 2369, Danville, KY 40423-2369

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