=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336059674
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VMD PRIMARY PROVIDERS CENTRAL KENTUCKY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2026
-----------------------------------------------------
Last Update Date | 09/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 S 12TH ST
-----------------------------------------------------
City | MURRAY
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42071-9303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-759-9200
-----------------------------------------------------
Fax | 270-759-8368
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1000 S 12TH ST
-----------------------------------------------------
City | MURRAY
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42071-9303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-759-9200
-----------------------------------------------------
Fax | 270-759-8368
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR REVENUE CYCLE
-----------------------------------------------------
Name | CHERI SZOKOLAY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 770-570-0021
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------