Organization
PRIME CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL J KING II MD (OWNER)
(859) 268-1030
Entity
Organization
Contact information
Practice address
4004 DUPONT CIR, LOUISVILLE, KY 40207-4819
(859) 268-1030
(859) 269-4120
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43519
KY
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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