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

Southern Kentucky Primary Care, PSC

Organization Family Medicine Physician · NPI 1003327412

Southern Kentucky Primary Care, PSC provides Family Medicine Physician services in Russellville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 W 2nd St
Russellville, KY 42276
Phone: (270) 881-1813
Fax: (270) 886-6600
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 (KY)

Record details

NPI number1003327412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latisha Edmonds — Office Administrator · (270) 265-2574
NPI enumeratedOctober 12, 2017
Last updated in NPPESJune 15, 2018
Mailing address1739 Canton St, Hopkinsville, KY 42240-1991

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