| Organization Name: | PRIMECARE PSC |
| NPI Number: | 1023091600 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID J. ZOELLER (PHYSICIAN/OWNER) |
| Mailing Address: | 1239 Woodland Dr Suite 108 Elizabethtown |
| State: | KY US |
| Postal Code: | 427012770 |
| Phone Number: | 2707654535 |
| Fax Number: | 2707631901 |
| NPI Enumeration Date: | 11/28/2005 |
| NPI Last Update Date: | 06/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |