NEW LIFE CLINIC LLC NPI 1356695100

NPI Information

  • NPI: 1356695100
  • Provider Name: NEW LIFE CLINIC, LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 506 N MAIN ST
    NICHOLASVILLE, KY
    ZIP 40356
  • Phone: (859) 887-3712

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NPI Details

NEW LIFE CLINIC, LLC is a medical specialty clinic center in Nicholasville, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NEW LIFE CLINIC, LLC NPI is 1356695100. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

506 N MAIN ST
NICHOLASVILLE, KY
ZIP 40356
Phone: (859) 887-3712
Fax: (859) 887-2926

The provider's authorized official is Jack Kendrick .
The authorized official title is Program Director and has the following contact phone number (859) 887-3712.

The enumeration date for this NPI number is 11/1/2012 and was last updated on 8/17/2017.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2207QA0401XFamily MedicineAddiction MedicineNo
3261QM2500XClinic/CenterMedical SpecialtyYes

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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