CENTRAL KENTUCKY RECOVERY MANAGEMENT NPI 1619339736

NPI Information

NPI: 1619339736
Provider Name: CENTRAL KENTUCKY RECOVERY MANAGEMENT
Classification: Family Medicine - 207QA0401X
Specialization: Addiction Medicine
Entity Type: Organization
Doing Business As: NEW LIFE RECOVERY
CLIA Number: 18D2119895
Address: 1094 US HIGHWAY 27 S STE A
CYNTHIANA, KY
ZIP 41031
Phone: (859) 569-3145

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NPI Details

CENTRAL KENTUCKY RECOVERY MANAGEMENT is an addiction medicine family medicine in Cynthiana, KY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. CENTRAL KENTUCKY RECOVERY MANAGEMENT NPI is 1619339736. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As New Life Recovery.

The provider's business location address is:

1094 US HIGHWAY 27 S STE A
CYNTHIANA, KY
ZIP 41031-078
Phone: (859) 569-3145
Fax: (859) 569-3176

The provider's authorized official is Tracy S Fryman .
The authorized official title is Owner and has the following contact phone number (859) 569-3145.

The CLIA number assigned to this NPI record is 18D2119895 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2016 and was last updated on 6/2/2021.

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	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	Yes
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	261QR1300X	Clinic/Center	Rural Health	No

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
1	810849	OTHER	KENTUCKY	AODE LICENSE
2	7100435380	MEDICAID	KENTUCKY

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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