Primaricare, Pllc

NPI 1033284781 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1033284781
Enumeration Date 11/21/2006
Last Updated 11/15/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DANA L DANA
Position PROVIDER ENROLLMENT
Phone (270) 365-2110
Fax (270) 365-2160
Practice Location
1011 W MAIN ST
SUITE B
PRINCETON KY, 42445-1219, US
Phone (270) 365-2110
Fax (270) 365-2160
Business Location
PO BOX 9150
PADUCAH KY, 42002-9150, US
Phone (270) 744-9600
Fax (270) 744-8642
Toxanomy
Taxonomy Code 164W00000X
License State
License Number
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According to our database, Primaricare, Pllc NPI is 1033284781, taxonomy code is 164W00000X Primaricare, Pllc physically located at 1011 W Main St, Princeton KY, 42445-1219. NPI Number 1033115704 has the healthcare provider type.

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1033284781 NPI number is provided on an as is basis without warranty of any kind. 1033284781 is maintained by the National Plan & Provider Enumeration System. The contents of Primaricare, Pllc are for informational purposes only.