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ASHLAND INTEGRATIVE MEDICINE LLC NPI 1982099438


NPI Information

NPI: 1982099438
Provider Name: ASHLAND INTEGRATIVE MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D2133928

Address:
10730 MIDLAND TRAIL RD
ASHLAND, KY
ZIP 41102
Phone: (606) 393-6193
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ASHLAND INTEGRATIVE MEDICINE LLC is a family medicine in Ashland, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ASHLAND INTEGRATIVE MEDICINE LLC NPI is 1982099438. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10730 MIDLAND TRAIL RD
ASHLAND, KY
ZIP 41102
Phone: (606) 393-6193
Fax: (606) 618-9280

The provider's authorized official is Jeannine L Parikh .
The authorized official title is Physician and has the following contact phone number (606) 393-6193.

The CLIA number assigned to this NPI record is 18D2133928 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/1/2015 and was last updated on 6/24/2015.


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
1207QB0002XFamily MedicineObesity Medicine39307KENTUCKYNo
2207Q00000XFamily Medicine39307KENTUCKYYes

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
1P00236047OTHERRR
2103680MEDICARE UPIN
364101652MEDICAIDKENTUCKY
43403644MEDICARE 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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