Kentucky Prime Care Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

27099 Issued in KY

Legal business name

KENTUCKY PRIME CARE INC

Practice address

467 Erlanger Rd Unit 3
Erlanger, KY 41018-1496

Phone

(513) 479-5342

NPI assigned

Mar 25, 2009

Organization subpart

No

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

Authorized official

Name

Samuel R Watkins, MD

Title

President

Phone

(513) 479-5342

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1992947758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 ERLANGER RD UNIT 3",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181496",
            "telephone_number": "513-479-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 ERLANGER RD UNIT 3",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181496",
            "telephone_number": "513-479-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY PRIME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-479-5342",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "KY",
            "license": "27099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Lin Keeton
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• Urology Physician in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.