FAST PACE KENTUCKY PLLC NPI 1588321822

NPI Information

NPI: 1588321822
Provider Name: FAST PACE KENTUCKY, PLLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
919 N MAIN ST
MADISONVILLE, KY
ZIP 42431
Phone: (270) 228-0592
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FAST PACE KENTUCKY, PLLC is a rural health clinic center in Madisonville, KY. FAST PACE KENTUCKY, PLLC NPI is 1588321822. The provider is registered as an organization entity type.

The provider's business location address is:

919 N MAIN ST
MADISONVILLE, KY
ZIP 42431-261
Phone: (270) 228-0592

The provider's authorized official is Sydni Clemmons .
The authorized official title is Credentialing Manager and has the following contact phone number (901) 351-1791.

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
1	261QR1300X	Clinic/Center	Rural Health			Yes

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

NPI Synchronization or Removal

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