Zebulon Primary Care, Pllc | |
774 Ramey Frk Raccoon KY 41557-8356 | |
(606) 432-2887 | |
Not Available |
Full Name | Zebulon Primary Care, Pllc |
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Speciality | Internal Medicine |
Location | 774 Ramey Frk, Raccoon, Kentucky |
Authorized Official Name and Position | Paul L Maynard (PRESIDENT) |
Authorized Official Contact | 6064330720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Zebulon Primary Care, Pllc Po Box 203 Raccoon KY 41557-0203 Ph: (606) 432-2887 | Zebulon Primary Care, Pllc 774 Ramey Frk Raccoon KY 41557-8356 Ph: (606) 432-2887 |
NPI Number | 1316058092 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 02/12/2021 |
Identifier | Type | State | Issuer |
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1316058092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 37264 (Kentucky) | Primary |
363LF0000X | Nurse Practitioner - Family | 3774P (Kentucky) | Secondary |