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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

NPI Number 1982657524
LBN Legal business name KENTUCKY PAIN PHYSICIANS, PSC
Authorized official GAY RICHARDSON - (CMO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2006
Last updated 07/11/2016 - About 10 years ago
Identifiers
KY Medicaid 64126766
KY Medicaid 7100033310
KY Medicaid 7100239010
KY Medicaid 7100240700
KY Medicaid 7100240830
KY Medicaid 7100242090
KY Medicaid 7100265660
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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