Southern Kentucky Primary Care, P.s.c.
NPI #1003327412 in Russellville, Kentucky
Provider Information
- NPI Number
- 1003327412
- Entity Type
- Organization
- Organization Name
- Southern Kentucky Primary Care, P.s.c.
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Oct 12, 2017
- Last Updated
- Jun 15, 2018
Practice Location
- Address
- 101 W 2ND ST
- City
- Russellville
- State
- Kentucky
- ZIP Code
- 42276
- Phone
- (270) 881-1813
Authorized Official
- Name
- LATISHA EDMONDS
- Title
- OFFICE ADMINISTRATOR
- Phone
- (270) 265-2574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Rural Health — Rural Health |
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