Healthcare Provider Details
I. General information
NPI: 1942173851
Provider Name (Legal Business Name): VMD PRIMARY PROVIDERS CENTRAL KENTUCKY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 S 12TH ST
MURRAY KY
42071-9303
US
IV. Provider business mailing address
1000 S 12TH ST
MURRAY KY
42071-9303
US
V. Phone/Fax
- Phone: 270-759-9200
- Fax: 270-759-9966
- Phone: 270-759-9200
- Fax: 270-759-9966
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHERI
SZOKOLAY
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 770-570-0021