Healthcare Provider Details

I. General information

NPI: 1760392005
Provider Name (Legal Business Name): VMD PRIMARY PROVIDERS CENTRAL KENTUCKY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 W WALNUT ST STE 600
LEBANON KY
40033-1378
US

IV. Provider business mailing address

325 W WALNUT ST STE 600
LEBANON KY
40033-1378
US

V. Phone/Fax

Practice location:
  • Phone: 270-699-9500
  • Fax:
Mailing address:
  • Phone: 270-699-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHERI SZOKOLAY
Title or Position: DIRECTOR REVENUE CYCLE
Credential:
Phone: 770-570-0021