| Primary Care Associates Of Southern Kentucky, Pllc | |
|
1330 N Race St Suite 2 Glasgow KY 42141-3465 | |
| (270) 651-6791 | |
| (270) 651-3182 |
| Full Name | Primary Care Associates Of Southern Kentucky, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1330 N Race St, Glasgow, Kentucky |
| Authorized Official Name and Position | Sandra Simmons (OFFICE MANAGER) |
| Authorized Official Contact | 2706516791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Associates Of Southern Kentucky, Pllc 1330 N Race St Suite 2 Glasgow KY 42141-3465 Ph: (270) 651-6791 | Primary Care Associates Of Southern Kentucky, Pllc 1330 N Race St Suite 2 Glasgow KY 42141-3465 Ph: (270) 651-6791 |
| NPI Number | 1073503611 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073503611 | NPI | - | NPPES |
| 65929614 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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