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 1780455527

Centerwell Senior Primary Care (Ky) PSC is a Family Medicine Physician in Frankfort, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
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

601 Versailles Rd
Frankfort, KY 40601-3857
Phone: (502) 695-3946
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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 number1780455527
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- Eastside; Centerwell Senior Primary Care- Eastside
NPI enumeratedJanuary 10, 2024
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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