KENTUCKY RIVER HBP LLC NPI 1174752356

NPI Information

  • NPI: 1174752356
  • Provider Name: KENTUCKY RIVER HBP LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 18D1100811
  • Address: 540 JETT DR
    JACKSON, KY
    ZIP 41339
  • Phone: (606) 666-6479

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NPI Details

KENTUCKY RIVER HBP LLC is a diagnostic radiology radiology in Jackson, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. KENTUCKY RIVER HBP LLC NPI is 1174752356. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

540 JETT DR
JACKSON, KY
ZIP 41339-622
Phone: (606) 666-6479
Fax: (606) 666-6102

The provider's authorized official is Laura J Fey .
The authorized official title is Sr. Director Physician Rev Cycle and has the following contact phone number (615) 221-3641.

The CLIA number assigned to this NPI record is 18D1100811 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2009 and was last updated on 7/7/2023.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

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