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Organization
SOUTHERN KENTUCKY MEDICINE ASSOCIATES, LLC
Active
Organization
SOUTHERN KENTUCKY MEDICINE ASSOCIATES, LLC
Active
Other names
Prime Care Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VP)
(615) 376-7600
Entity
Organization
Contact information
Practice address
990 WILKINSON TRCE, SUITE 100, BOWLING GREEN, KY 42103-3404
(270) 781-4043
(270) 781-4196
Mailing address
990 WILKINSON TRCE, SUITE 100, BOWLING GREEN, KY 42103-3404
(270) 781-4043
(270) 781-4196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/11/2010
Last updated
01/20/2011
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