Organization
PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC
Active
Other names
Glasgow Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA SIMMONS (OFFICE MANAGER)
(270) 651-6791
Entity
Organization
Contact information
Practice address
1330 N RACE ST, SUITE 2, GLASGOW, KY 42141-3465
(270) 651-6791
(270) 651-3182
Mailing address
1330 N RACE ST, SUITE 2, GLASGOW, KY 42141-3465
(270) 651-6791
(270) 651-3182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65929614
—
KY
Enumeration date
10/25/2005
Last updated
10/16/2007
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