NPI 1003327412

Southern Kentucky Primary Care, P.S.C.

Organisation Rural Health Clinic/Center Russellville, KY

Practice location

Address: 101 W 2nd St, Russellville, KY 42276
Phone: (270) 881-1813
Fax: (270) 886-6600
Mailing address: 1739 Canton St, Hopkinsville, KY 42240-1991

Authorised official

Name: Latisha Edmonds
Title: Office Administrator
Phone: (270) 265-2574

Registered specialties (2)

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X

Other Clinic/Center providers in Kentucky →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Kentucky →

Registry record

NPI: 1003327412
Entity type: Organization
NPI issued: 12 Oct 2017
Record last updated: 15 Jun 2018

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.