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ELKHORN PRIMARY CARE
NPI 1780106591
Nurse Practitioner - Family in Elkhorn City, KY

Active since July 13, 2017
112 E MAIN ST, ELKHORN CITY, KY 41522(606) 754-5793(606) 886-9908 Get Directions Write a Review

NPPES record last updated: July 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elkhorn Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELKHORN PRIMARY CARE (NPI 1780106591) is a healthcare organization registered as a family in Elkhorn City, Kentucky and active in the NPI registry since July 2017. The organization lists Crystal Branham, Owner, as its authorized official.

NPPES Registry Identity

NPI1780106591
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELKHORN PRIMARY CARE
Location Address112 E MAIN STElkhorn City, KY 41522-9043
Mailing AddressP.o. Box 1432Elkhorn City, KY 41522-9043 · (606) 754-5793 · Fax (606) 886-9908
Phone(606) 754-5793
Fax(606) 886-9908
Organization SubpartNo
Authorized OfficialCrystal BranhamOwner · (606) 754-5793
Enumeration DateJuly 13, 2017
✔ NPI 1780106591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3007228
112 E MAIN ST, Elkhorn City, KY 41522
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100196230KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Clinic/Center (Primary Care)
112 E MAIN ST
ELKHORN CITY, KY 41522
Pike County (606) 414-2280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elkhorn Primary Care's NPI number?

The NPI number for Elkhorn Primary Care is 1780106591. It was assigned to this organization in the NPPES registry on July 13, 2017.

Where is Elkhorn Primary Care located?

Elkhorn Primary Care is located at 112 E Main St, Elkhorn City, KY 41522. The listed phone number is (606) 754-5793.

What is Elkhorn Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elkhorn Primary Care was last updated on July 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.