Graduated: 1995
NPI: 1558535237
Practice Locations (2)
PRIMARY CARE CENTERS OF EASTERN KENTUCKY LLC
101 TOWN AND COUNTRY LN, SUITE 100
HAZARD, KY 417019524
6064391300
PRIMARY CARE CENTERS OF EASTERN KENTUCKY LLC
21992 MAIN ST
HYDEN, KY 417498567
6066725200
Source: CMS National Downloadable File, September 2026.