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Organization
PRIMECARE PSC
Active
Organization
PRIMECARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. ZOELLER MD (PHYSICIAN/OWNER)
(270) 765-4535
Entity
Organization
Contact information
Practice address
2413 RING RD STE 110, ELIZABETHTOWN, KY 42701-5924
(270) 765-4535
(270) 763-1901
Mailing address
2413 RING RD STE 110, ELIZABETHTOWN, KY 42701-5924
(270) 765-4535
(270) 763-1901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26429
KY
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/28/2005
Last updated
11/17/2022
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