Primary Care Associates of Southern Kentucky, Pllc

NPI #1073503611 in Glasgow, Kentucky

Provider Information

NPI Number: 1073503611
Entity Type: Organization
Organization Name: Primary Care Associates of Southern Kentucky, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Oct 25, 2005
Last Updated: Oct 16, 2007

Practice Location

Address: 1330 N RACE ST
Address 2: SUITE 2
City: Glasgow
State: Kentucky
ZIP Code: 42141-3465
Phone: (270) 651-6791

Authorized Official

Name: MS. SANDRA SIMMONS
Title: OFFICE MANAGER
Phone: (270) 651-6791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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