Organization
A NEW START PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY R DUKES (CEO & PRESIDENT)
(270) 754-3494
Entity
Organization
Contact information
Practice address
114 FRANKLIN ST, HENDERSON, KY 42420-3342
(866) 934-4611
(270) 754-3499
Mailing address
114 FRANKLIN ST, HENDERSON, KY 42420-3342
(866) 934-4611
(270) 754-3499
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/25/2023
Last updated
02/01/2024
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