Primary Injury Care

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

PRIMARY INJURY CARE

Doing business as

Primary Injury Care and Wellness

Practice address

2935 Dolphin Dr Ste 203
Elizabethtown, KY 42701-4112

Phone

(270) 900-0157

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trace Robert Kelly, DC, FNPNPI 1629296603

Title

Owner

Phone

(502) 415-3943

Specialties & licenses 2

Addresses

Other names 1

• Primary Injury Care and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trace Kelly, FNP-C, DC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1629296603
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1265159404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 DOLPHIN DR STE 203",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014112",
            "telephone_number": "270-900-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 DOLPHIN DR STE 203",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014112",
            "telephone_number": "270-900-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY INJURY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TRACE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-415-3943",
        "authorized_official_credential": "DC, FNP"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Injury Care and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis Price, APSS
• Lisa Priddy, CRNA
• Sarah Priddy, PHARMD
• Ronnie Pridemore, M.D.
• Primary Care @ Home, LLC
• Primecare PSC
• Benjamin L Proctor, M.D.
• Robyn Proctor, LPCA
• Sarah Alanson Proctor, D.M.D
• Skylynne Proffitt, APSS

• Rehabilitation Chiropractor in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Rehabilitation Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.