FAST PACE KENTUCKY PLLC NPI 1396402640

NPI Information

  • NPI: 1396402640
  • Provider Name: FAST PACE KENTUCKY, PLLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 44D2217738
  • Address: 757 W MAIN ST
    LEBANON, KY
    ZIP 40033
  • Phone: (270) 972-4186

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NPI Details

FAST PACE KENTUCKY, PLLC is a rural health clinic center in Lebanon, KY. FAST PACE KENTUCKY, PLLC NPI is 1396402640. The provider is registered as an organization entity type.

The provider's business location address is:

757 W MAIN ST
LEBANON, KY
ZIP 40033-838
Phone: (270) 972-4186

The provider's authorized official is Robert Benson .
The authorized official title is Coo and has the following contact phone number (931) 253-1110.

The CLIA number assigned to this NPI record is 44D2217738 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 11/22/2021.

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
1261QR1300XClinic/CenterRural HealthYes

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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