AUDUBON GI PSC NPI 1639242613

NPI Information

  • NPI: 1639242613
  • Provider Name: AUDUBON GI PSC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1413 NORTH ELM ST
    SUITE 105
    HENDERSON, KY
    ZIP 42420
  • Phone: (270) 826-0002

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NPI Details

AUDUBON GI PSC is a specialist in Henderson, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AUDUBON GI PSC NPI is 1639242613. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1413 NORTH ELM ST
SUITE 105
HENDERSON, KY
ZIP 42420-266
Phone: (270) 826-0002
Fax: (270) 826-0003

The provider's authorized official is Karen R. Canlas .
The authorized official title is President and has the following contact phone number (270) 826-0002.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 1/7/2010.

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
1207RG0100XInternal MedicineGastroenterology38601KENTUCKYNo
2174400000XSpecialist18731KENTUCKYYes

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
1000000047502OTHERKENTUCKYBLUE CROSS BLUE SHIELD
2C69535MEDICARE UPINKENTUCKY
364187313MEDICAIDKENTUCKY
47774MEDICARE PINKENTUCKY

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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