KENTUCKY PAIN PHYSICIANS; NPI #1477665321

Contact Information

KENTUCKY PAIN PHYSICIANS

286 US HIGHWAY 23 N
STE 102
PRESTONSBURG, KY 41653-8732

Phone: 606-874-0032
Fax: 606-874-0064
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for KENTUCKY PAIN PHYSICIANS

NPI Number 1477665321

LBN Legal business name KENTUCKY PAIN PHYSICIANS

Authorized official GERALD PAYNE - (PHYSICIANS ASST)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 06/23/2008 - About 18 years ago

Identifiers

KY	License #	39994
	Other	1829665	OTHER ID NUMBER-COMMERCIAL NUMBER

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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KENTUCKY PAIN PHYSICIANS

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for KENTUCKY PAIN PHYSICIANS

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