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General NPI Number Information
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NPI Number | 1003770611
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Entity Type | Organization
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Legal Business Name | PRIMARY INJURY CONSULTING, LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3928 DUTCHMANS LN
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City | LOUISVILLE
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State | KY
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Zip | 40207-4702
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Country | US
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Telephone | 502-576-6178
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Fax | 502-576-7392
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Provider Business Mailing Address
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Address Line | 3928 DUTCHMANS LN
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City | LOUISVILLE
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State | KY
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Zip | 40207-4702
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Country | US
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Telephone | 502-576-6178
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Fax | 502-576-7392
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Authorized Official
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Title or Position | OWNER
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Name | TRACE KELLY
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Credential | FNP
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Telephone | 502-576-6178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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