Organization
PRIMARY CARE @ HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C OWEN (CEO)
(502) 254-1111
Entity
Organization
Contact information
Practice address
1105 JULIANNA CT, SUITE 1, ELIZABETHTOWN, KY 42701-7937
(270) 763-0030
(270) 763-0050
Mailing address
1105 JULIANNA CT, SUITE 1, ELIZABETHTOWN, KY 42701-7937
(270) 763-0030
(270) 763-0050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KY
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/17/2010
Last updated
12/03/2010
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