# EVANSVILLE PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evansville Primary Care, Douglas S Palmenter MD LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629027800
- **Authorized official:** KAYLYNN CANTACESSI (MANAGER)
- **Authorized official phone:** (812) 479-6907

## Contact information

- **Practice address:** 4933 E PLAZA EAST BLVD, EVANSVILLE, IN 47715-2813
- **Practice address phone:** (812) 479-6907
- **Practice address fax:** (812) 479-6967
- **Mailing address:** 4933 E PLAZA EAST BLVD, EVANSVILLE, IN 47715-2813
- **Mailing address phone:** (812) 401-8720
- **Mailing address fax:** (812) 479-6967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 08/01/2023