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

Mountain Family Practice Clinic of Manchester Inc

Organization Family Medicine Physician · NPI 1689919078

Mountain Family Practice Clinic of Manchester Inc provides Family Medicine Physician services 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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