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Organization
PRIMARY PHYSICIANS NETWORK LLC
Active
Organization
PRIMARY PHYSICIANS NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HODGKINSON (CFO)
(812) 485-4000
Entity
Organization
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-1220
Mailing address
PO BOX 359, EVANSVILLE, IN 47703-0359
(812) 485-1220
(812) 485-8544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
207R00000X
Internal Medicine Physician
—
IN
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
IN
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/10/2007
Last updated
07/21/2022
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