Paris Primary Care | |
2017 S. Main Street Suite 7 Paris KY 40361 | |
(859) 987-2200 | |
(859) 987-4476 |
Full Name | Paris Primary Care |
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Speciality | Family Medicine |
Location | 2017 S. Main Street, Paris, Kentucky |
Authorized Official Name and Position | Roberta Lynn Allison (PRESIDENT) |
Authorized Official Contact | 8599872200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paris Primary Care 2017 S. Main Street Suite 7 Paris KY 40361 Ph: (859) 987-2200 | Paris Primary Care 2017 S. Main Street Suite 7 Paris KY 40361 Ph: (859) 987-2200 |
NPI Number | 1639383185 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 08/10/2021 |
Medicare PECOS PAC ID | 6709816168 |
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Medicare Enrollment ID | O20050816000195 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639383185 | NPI | - | NPPES |
64291412 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12952 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 29141 (Kentucky) | Primary |
Provider Name | Roberta Lynn Allison |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1114954104 PECOS PAC ID: 8921197757 Enrollment ID: I20100730000363 |
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