# APOGEE MEDICAL GROUP KENTUCKY PSC

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

## Provider details

- **NPI number:** 1356503114
- **Authorized official:** KAREN J HARWELL (CFO)
- **Authorized official phone:** (602) 778-3600

## Contact information

- **Practice address:** 1 TRILLIUM WAY, SUITE 5, CORBIN, KY 40701
- **Practice address phone:** (606) 528-1212
- **Mailing address:** PO BOX 708730, SANDY, UT 84070-8730
- **Mailing address phone:** (866) 869-2395
- **Mailing address fax:** (801) 352-9502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/01/2008
- **Last updated:** 09/06/2024