# SOUTHERN KENTUCKY MEDICINE ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime Care Medicine Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710219019
- **Authorized official:** GARY DUNCAN (VP)
- **Authorized official phone:** (615) 376-7600

## Contact information

- **Practice address:** 990 WILKINSON TRCE, SUITE 100, BOWLING GREEN, KY 42103-3404
- **Practice address phone:** (270) 781-4043
- **Practice address fax:** (270) 781-4196
- **Mailing address:** 990 WILKINSON TRCE, SUITE 100, BOWLING GREEN, KY 42103-3404
- **Mailing address phone:** (270) 781-4043
- **Mailing address fax:** (270) 781-4196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |
| 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