Organization
EVANSVILLE PRIMARY CARE LLC
Active
Other names
Evansville Primary Care, Douglas S Palmenter MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLYNN CANTACESSI (MANAGER)
(812) 479-6907
Entity
Organization
Contact information
Practice address
4933 E PLAZA EAST BLVD, EVANSVILLE, IN 47715-2813
(812) 479-6907
(812) 479-6967
Mailing address
4933 E PLAZA EAST BLVD, EVANSVILLE, IN 47715-2813
(812) 401-8720
(812) 479-6967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912987363
—
IN
05
—
200321590
—
IN
Enumeration date
05/08/2006
Last updated
08/01/2023
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