KENTUCKY FAMILY PSYCHIATRY PLLC NPI 1154076941

NPI Information

NPI: 1154076941
Provider Name: KENTUCKY FAMILY PSYCHIATRY, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 18D2274235

Address:
1374 HIGHWAY 192 E STE 400
LONDON, KY
ZIP 40741
Phone: (606) 770-5454
Get Directions

KENTUCKY FAMILY PSYCHIATRY, PLLC is a psychiatric/mental health nurse practitioner in London, KY. KENTUCKY FAMILY PSYCHIATRY, PLLC NPI is 1154076941. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1374 HIGHWAY 192 E STE 400
LONDON, KY
ZIP 40741-123
Phone: (606) 770-5454
Fax: (606) 770-5455

The provider's authorized official is Angela Cain .
The authorized official title is Owner/provider and has the following contact phone number (606) 770-5454.

The CLIA number assigned to this NPI record is 18D2274235 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2022 and was last updated on 3/4/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100527870	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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