Individual
DR. DANIEL DEATON PRIMM
Active
Individual
DR. DANIEL DEATON PRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
19618
KY
207X00000X
Orthopaedic Surgery Physician
Primary
19618
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64196181
—
KY
01
—
D82696
UPIN
KY
Enumeration date
06/19/2006
Last updated
12/14/2015
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