# KENTUCKY PRIME CARE INC

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

## Provider details

- **NPI number:** 1992947758
- **Authorized official:** SAMUEL R WATKINS MD (PRESIDENT)
- **Authorized official phone:** (513) 479-5342

## Contact information

- **Practice address:** 467 ERLANGER RD UNIT 3, ERLANGER, KY 41018-1496
- **Practice address phone:** (513) 479-5342
- **Mailing address:** 467 ERLANGER RD UNIT 3, ERLANGER, KY 41018-1496
- **Mailing address phone:** (513) 479-5342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 27099 | KY | Yes |

## Other

- **Enumeration date:** 03/25/2009
- **Last updated:** 03/25/2009