KENTUCKY PAIN MANAGEMENT SERVICES NPI 1376692657

NPI Information

  • NPI: 1376692657
  • Provider Name: KENTUCKY PAIN MANAGEMENT SERVICES
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Address: 311 ROY CAMPBELL DRIVE
    HAZARD, KY
    ZIP 41701
  • Phone: (606) 487-0776

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NPI Details

KENTUCKY PAIN MANAGEMENT SERVICES is a pain clinic center in Hazard, KY. KENTUCKY PAIN MANAGEMENT SERVICES NPI is 1376692657. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

311 ROY CAMPBELL DRIVE
HAZARD, KY
ZIP 41701
Phone: (606) 487-0776
Fax: (606) 487-0777

The provider's authorized official is Phillip R Mullins .
The authorized official title is Ceo and has the following contact phone number (606) 487-0776.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/15/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain MedicineNo
2363L00000XNurse PractitionerNo
3261QP3300XClinic/CenterPain29445KENTUCKYYes

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
100216MEDICARE PINKENTUCKY
229445OTHERKENTUCKYSTATE LICENSE #
37100002910MEDICAIDKENTUCKY
4000000509781OTHERKENTUCKYANTHEM BCBS

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: 3/30/2025

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