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HEART SPECIALISTS OF SE KY PSC NPI 1386752756


NPI Information

NPI: 1386752756
Provider Name: HEART SPECIALISTS OF SE KY PSC

Doing Business As: HEART SPECIALISTS OF SE KY PSC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
45 MOONBOW PLZ
CORBIN, KY
ZIP 40701
Phone: (606) 523-9010
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HEART SPECIALISTS OF SE KY PSC is a specialist in Corbin, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HEART SPECIALISTS OF SE KY PSC NPI is 1386752756. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Heart Specialists Of Se Ky Psc.

The provider's business location address is:

45 MOONBOW PLZ
CORBIN, KY
ZIP 40701-949
Phone: (606) 523-9010
Fax: (606) 523-5923

The provider's authorized official is Janie Renee Okuma .
The authorized official title is Office Manager and has the following contact phone number (606) 523-9010.

The enumeration date for this NPI number is 8/27/2006 and was last updated on 6/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA249KENTUCKYNo
2363L00000XNurse Practitioner4069PKENTUCKYNo
3174400000XSpecialist29557KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165914996MEDICAIDKENTUCKY
206625MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.