Organization
MADISON PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY UNDERWOOD (CREDENTIALING)
(859) 303-8746
Entity
Organization
Contact information
Practice address
210 SAINT GEORGE ST, SUITE 110, RICHMOND, KY 40475-2376
(859) 626-9766
(859) 626-0741
Mailing address
1031 WELLINGTON WAY STE 240, LEXINGTON, KY 40513-1257
(859) 303-8746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
900242
KY
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/07/2011
Last updated
09/02/2021
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