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Contact Information

SPECIALISTSMAT PSC
110 CHASE WAY STE 2
ELIZABETHTOWN, KY42701-7827
 Phone: 502-212-0071
 Fax: 502-530-5303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
 

Addiction (Substance Use Disorder)

101YA0400X
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SPECIALISTSMAT PSC

NPI # 1851998181
LBN Legal business name SPECIALISTSMAT PSC
Authorized official CARA NETHERTON - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2020
Last updated 11/17/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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