NPI 1609310358
Priority Primary Care LLC
Practice location
- Address
- 60 Shelton Ln, Russellville, KY 42276-7203
- Phone
- (270) 632-4514
- Fax
- (270) 632-4518
- Mailing address
- PO Box 1546, Russellville, KY 42276-3546
Authorised official
- Name
- Kumarasooriyar Kumaravelu
- Title
- Owner
- Phone
- (270) 632-4514
Registered specialties (3)
Rural Health Clinic/Center
Primary
Pediatrics Physician
Nurse Practitioner
Registry record
- NPI
- 1609310358
- Entity type
- Organization
- NPI issued
- 15 Dec 2016
- Record last updated
- 2 Mar 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.