EAST KENTUCKY RECOVERY INC NPI 1528768801

NPI Information

NPI: 1528768801
Provider Name: EAST KENTUCKY RECOVERY, INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 18D2277774

Address:
1337 HIGHWAY 119 N
WHITESBURG, KY
ZIP 41858
Phone: (606) 403-1041
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EAST KENTUCKY RECOVERY, INC is a family nurse practitioner in Whitesburg, KY. EAST KENTUCKY RECOVERY, INC NPI is 1528768801. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1337 HIGHWAY 119 N
WHITESBURG, KY
ZIP 41858-952
Phone: (606) 403-1041
Fax: (606) 403-1000

The provider's authorized official is Samantha Webb .
The authorized official title is Office Manager and has the following contact phone number (276) 298-5447.

The CLIA number assigned to this NPI record is 18D2277774 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2023 and was last updated on 4/11/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			No
2	363LF0000X	Nurse Practitioner	Family			Yes

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: 5/5/2024

NPI Synchronization or Removal

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