# PRIMECARE PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023091600
- **Authorized official:** DAVID J. ZOELLER MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (270) 765-4535

## Contact information

- **Practice address:** 2413 RING RD STE 110, ELIZABETHTOWN, KY 42701-5924
- **Practice address phone:** (270) 765-4535
- **Practice address fax:** (270) 763-1901
- **Mailing address:** 2413 RING RD STE 110, ELIZABETHTOWN, KY 42701-5924
- **Mailing address phone:** (270) 765-4535
- **Mailing address fax:** (270) 763-1901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 26429 | KY | Yes |
| 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