NPI 1003137605

Primary Care @ Home, LLC

Organisation Family Medicine Physician Elizabethtown, KY

Practice location

Address: 1105 Julianna CT Suite 1, Elizabethtown, KY 42701-7937
Phone: (270) 763-0030
Fax: (270) 763-0050

Authorised official

Name: David C Owen
Title: Ceo
Phone: (502) 254-1111

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Kentucky →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Kentucky →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Registry record

NPI: 1003137605
Entity type: Organization
NPI issued: 17 Jun 2010
Record last updated: 3 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.