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KENTUCKY OSTEO RELIEF INSTITUTE PSC NPI 1679819353


NPI Information

NPI: 1679819353
Provider Name: KENTUCKY OSTEO RELIEF INSTITUTE PSC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1019 MAJESTIC DR STE 270
LEXINGTON, KY
ZIP 40513
Phone: (859) 446-5603
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KENTUCKY OSTEO RELIEF INSTITUTE PSC is an addiction medicine family medicine in Lexington, KY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. KENTUCKY OSTEO RELIEF INSTITUTE PSC NPI is 1679819353. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1019 MAJESTIC DR STE 270
LEXINGTON, KY
ZIP 40513-897
Phone: (859) 446-5603
Fax: (859) 223-0494

The provider's authorized official is Anthony Scatena .
The authorized official title is Staff Provider and has the following contact phone number (859) 446-5603.

The enumeration date for this NPI number is 12/27/2012 and was last updated on 8/19/2013.


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
1111N00000XChiropractorNo
2225100000XPhysical TherapistNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4207QA0401XFamily MedicineAddiction MedicineYes

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
16760500001MEDICARE NSCKENTUCKY
2K080660MEDICARE 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: 4/28/2024

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