Organization
PRIMARICARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L EVANS (PROVIDER ENROLLMENT)
(270) 744-9600
Entity
Organization
Contact information
Practice address
1011 W MAIN ST, SUITE B, PRINCETON, KY 42445-1219
(270) 365-2110
(270) 365-2160
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
11/15/2007
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