Organization · Type 2 NPI

Premise Health of Kentucky Medical PSC

Multi-Specialty Clinic/Center · Georgetown, KY

NPI number 1558037960 Active

Practice location

108 Osbourne Way Ste 7
Georgetown, KY 40324-9693

Fax (502) 570-2904

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1558037960

Premise Health of Kentucky Medical PSC's National Provider Identifier is 1558037960, issued on Aug 17, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Georgetown, KY. The record was last updated on Sep 30, 2026.