Organization
ANDERSON PRIMARY CARE LLC
Active
Other names
Primary Care Express
Organization subpart
No
Provider details
NPI number
Authorized official
ANN S GILES (OWNER)
(859) 219-2828
Entity
Organization
Contact information
Practice address
1055 CORPORATE DRIVE, LAWRENCEBURG, KY 40342
(502) 839-5590
(502) 839-3450
Mailing address
1055 WELLINGTON WAY, SUITE 275, LEXINGTON, KY 40513-1259
(859) 219-2828
(859) 219-0524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
700156
KY
363L00000X
Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31001068
—
KY
Enumeration date
05/23/2006
Last updated
10/09/2013
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