Organization · Type 2 NPI
Concentra Primary Care PA
Primary Care Clinic/Center · Nicholasville, KY
NPI number
1134476203
Active
Practice location
204 Bellaire Drive
Nicholasville, KY 40356-8840
Fax (859) 881-1728
Mailing address
5080 Spectrum Drive, Suite 1200 West
Addison, TX 75001-4648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1134476203
Concentra Primary Care PA's National Provider Identifier is 1134476203, issued on Aug 8, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Nicholasville, KY. The record was last updated on Feb 3, 2016.