App of Kentucky Ed, PLLC

Organization Active NPI Emergency Medicine Physician · Princeton, KY

NPI 1497157341 · NPPES record last updated Jan 26, 2023

Key facts

NPI
1497157341
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
APP OF KENTUCKY ED, PLLC
Practice address
100 Medical Center Dr
Princeton, KY 42445
Phone
(270) 365-0300
NPI assigned
Sep 23, 2014
Organization subpart
No

Authorized official

Name
James Grimes
Title
Cfo
Phone
(855) 246-8607

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1990 Madison St
Ste 102
Clarksville, TN 37043

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

100 Medical Center Dr
Princeton, KY 42445

Mailing address

5121 Maryland Way Ste 300
Brentwood, TN 37027-7516
Phone (855) 246-8607

Other names

  • Green River Emergency Physicians, PLLC Other name

Other providers in Princeton, KY

All providers in Princeton, KY · Emergency Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.