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

Vmd Primary Providers Central Kentucky

Organization Family Medicine Physician · NPI 1063120194

Vmd Primary Providers Central Kentucky is a Family Medicine Physician in Lebanon, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

325 W Walnut St Ste 600
Lebanon, KY 40033-1378
Phone: (270) 699-9500
Fax: (270) 699-9550
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
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1063120194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Rager — Director Revenue Cycle · (844) 969-0686
Other names Village Medical
NPI enumeratedNovember 8, 2022
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address4650 Westway Park Blvd Ste 206, Houston, TX 77041-2006

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