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KENTUCKY CARDIOVASCULAR CONSULTANTS PLLC NPI 1619165644


NPI Information

NPI: 1619165644
Provider Name: KENTUCKY CARDIOVASCULAR CONSULTANTS PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 18D2216786

Address:
2200 E PARRISH AVE
BLDG B, LL103
OWENSBORO, KY
ZIP 42303
Phone: (270) 926-2998
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KENTUCKY CARDIOVASCULAR CONSULTANTS PLLC is a cardiovascular disease internal medicine in Owensboro, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. KENTUCKY CARDIOVASCULAR CONSULTANTS PLLC NPI is 1619165644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 E PARRISH AVE
BLDG B, LL103
OWENSBORO, KY
ZIP 42303-449
Phone: (270) 926-2998
Fax: (270) 852-1653

The provider's authorized official is Mukesh Gupta .
The authorized official title is President Of Corporation and has the following contact phone number (270) 926-2998.

The CLIA number assigned to this NPI record is 18D2216786 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 9/17/2016.


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
1207RC0000XInternal MedicineCardiovascular Disease32463KENTUCKYYes

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
100539MEDICARE PINKENTUCKY
2254350MEDICARE PININDIANA
37100014630MEDICAIDKENTUCKY

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: 4/28/2024

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.