Organization
PRIORITY PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMARASOORIYAR KUMARAVELU MD (OWNER)
(270) 632-4514
Entity
Organization
Contact information
Practice address
60 SHELTON LN, RUSSELLVILLE, KY 42276-7203
(270) 632-4514
(270) 632-4518
Mailing address
PO BOX 1546, RUSSELLVILLE, KY 42276-3546
(270) 632-4514
(270) 632-4518
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/15/2016
Last updated
03/02/2018
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