# PRIMARICARE, PLLC

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

## Provider details

- **NPI number:** 1033284781
- **Authorized official:** DANA L EVANS (PROVIDER ENROLLMENT)
- **Authorized official phone:** (270) 744-9600

## Contact information

- **Practice address:** 1011 W MAIN ST, SUITE B, PRINCETON, KY 42445-1219
- **Practice address phone:** (270) 365-2110
- **Practice address fax:** (270) 365-2160
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-9600
- **Mailing address fax:** (270) 744-8642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 11/15/2007