| NPI | 1265159404 |
|---|---|
| Doing Business As | PRIMARY INJURY CARE AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TRACE ROBERT KELLY Owner 502-415-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |