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Contact Information

KENTUCKY PAIN PHYSICIANS, PSC
286 US HIGHWAY 23 N
PRESTONSBURG, KY41653-8732
 Phone: 606-874-0032
 Fax: 606-874-0064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Occupational Health

363LX0106X 50 Nurse Practitioner
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KENTUCKY PAIN PHYSICIANS PSC · (Female)

NPI # 1982657524
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2006
Last updated 07/11/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 64126766
  • KY Medicaid 7100033310
  • KY Medicaid 7100239010
  • KY Medicaid 7100240700
  • KY Medicaid 7100240830
  • KY Medicaid 7100242090
  • KY Medicaid 7100265660
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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