Organization
KENTUCKY PRIME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL R WATKINS MD (PRESIDENT)
(513) 479-5342
Entity
Organization
Contact information
Practice address
467 ERLANGER RD UNIT 3, ERLANGER, KY 41018-1496
(513) 479-5342
Mailing address
467 ERLANGER RD UNIT 3, ERLANGER, KY 41018-1496
(513) 479-5342
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27099
KY
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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