| Zebulon Primary Care, Pllc | |
|
774 Ramey Frk Raccoon KY 41557-8356 | |
| (606) 432-2887 | |
| Not Available |
| Full Name | Zebulon Primary Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 774 Ramey Frk, Raccoon, Kentucky |
| Authorized Official Name and Position | Paul L Maynard (PRESIDENT) |
| Authorized Official Contact | 6064330720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zebulon Primary Care, Pllc Po Box 203 Raccoon KY 41557-0203 Ph: (606) 432-2887 | Zebulon Primary Care, Pllc 774 Ramey Frk Raccoon KY 41557-8356 Ph: (606) 432-2887 |
| NPI Number | 1316058092 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316058092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37264 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3774P (Kentucky) | Secondary |