Organization
APP OF KENTUCKY ED, PLLC
Active
Other names
Green River Emergency Physicians, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRIMES (CFO)
(855) 246-8607
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER DR, PRINCETON, KY 42445
(270) 365-0300
Mailing address
5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
(855) 246-8607
(615) 922-6723
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/23/2014
Last updated
01/26/2023
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