Organization
SOUTHERN KENTUCKY MEDICINE ASSOCIATES, LLC
Active
Other names
Prime Care Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VP)
(615) 376-7600
Entity
Organization
Contact information
Practice address
990 WILKINSON TRCE, SUITE 100, BOWLING GREEN, KY 42103-3404
(270) 781-4043
(270) 781-4196
Mailing address
990 WILKINSON TRCE, SUITE 100, BOWLING GREEN, KY 42103-3404
(270) 781-4043
(270) 781-4196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/11/2010
Last updated
01/20/2011
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