| Premiere Providers Pllc | |
|
112 S Public Sq Greensburg KY 42743-1533 | |
| (270) 932-4284 | |
| (270) 932-4285 |
| Full Name | Premiere Providers Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 112 S Public Sq, Greensburg, Kentucky |
| Authorized Official Name and Position | Mark Arnold Kirkpatrick (CEO) |
| Authorized Official Contact | 2704051158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Providers Pllc 112 S Public Sq Greensburg KY 42743-1533 Ph: (270) 932-4284 | Premiere Providers Pllc 112 S Public Sq Greensburg KY 42743-1533 Ph: (270) 932-4284 |
| NPI Number | 1346360872 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346360872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25893 (Kentucky) | Primary |
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