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

Southern Kentucky Primary Care, PSC

Organization Family Medicine Physician · NPI 1003327412

Southern Kentucky Primary Care, PSC is a Family Medicine Physician in Russellville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
Specialties on file
2
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

101 W 2nd St
Russellville, KY 42276
Phone: (270) 881-1813
Fax: (270) 886-6600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X (KY)

Record details

NPI number1003327412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latisha Edmonds — Office Administrator · (270) 265-2574
NPI enumeratedOctober 12, 2017
Last updated in NPPESJune 15, 2018
Mailing address1739 Canton St, Hopkinsville, KY 42240-1991

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