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KUTTAWA CLINIC PLLC NPI 1184034951


NPI Information

NPI: 1184034951
Provider Name: KUTTAWA CLINIC, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D2089718

Address:
91 CEDAR STREET
KUTTAWA, KY
ZIP 42055
Phone: (270) 853-8685
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KUTTAWA CLINIC, PLLC is a family medicine in Kuttawa, 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. KUTTAWA CLINIC, PLLC NPI is 1184034951. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

91 CEDAR STREET
KUTTAWA, KY
ZIP 42055
Phone: (270) 853-8685

The provider's authorized official is Debra Wilder .
The authorized official title is Member and has the following contact phone number (270) 853-8685.

The CLIA number assigned to this NPI record is 18D2089718 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/2/2014 and was last updated on 9/30/2020.


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
1363LF0000XNurse PractitionerFamily3009151KENTUCKYNo
2207Q00000XFamily MedicineYes

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: 5/5/2024

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