OrganizationActive
Primary Care @ Home, LLC
NPI 1003137605 · Family Medicine Physician · Elizabethtown, KY
Provider details
- NPI number
- 1003137605
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Owen, Ceo(502) 254-1111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1105 Julianna Ct
Suite 1
Elizabethtown, KY 42701-7937
Phone: (270) 763-0030
Fax: (270) 763-0050
Approximate (ZIP-level) locationGet directions
Mailing address
1105 Julianna Ct
Elizabethtown, KY 42701-7937
Registry dates
- Enumerated
- 2010-06-17
- Last updated
- 2010-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.