Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centerwell Senior Primary Care (Ky) PSC

Organization Family Medicine Physician · NPI 1699549683

Centerwell Senior Primary Care (Ky) PSC is a Family Medicine Physician in Louisville, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4917 Dixie Hwy Ste E
Louisville, KY 40216-2565
Phone: (407) 447-7120
Fax: (877) 243-0175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1699549683
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care (Ky) PSC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care- Dixie Highway; Centerwell Senior Primary Care- Dixie Highway
NPI enumeratedNovember 9, 2023
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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