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Contact Information

CENTRAL KENTUCKY INTERVENTIONAL PAIN CENTER, PLLC
300 W BROADWAY ST
DANVILLE, KY40422-1408
 Phone: 859-236-0606
 Fax: 859-236-0066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CENTRAL KENTUCKY INTERVENTIONAL PAIN CENTER, PLLC

NPI # 1407855935
LBN Legal business name CENTRAL KENTUCKY INTERVENTIONAL PAIN CENTER, PLLC
Authorized official KHURSHEED SIDDIQUI - (OWNER/GROUP PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2005
Last updated 12/28/2017 - About 8 years ago
Identifiers
KY License # 28741
KY Medicaid 65942906
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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