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NORTHERN KENTUCKY PAIN RELIEF PHYSICAL MEDICINE CENTER PSC NPI 1649554031


NPI Information

NPI: 1649554031
Provider Name: NORTHERN KENTUCKY PAIN RELIEF PHYSICAL MEDICINE CENTER PSC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
7560 US HWY 42
FLORENCE, KY
ZIP 41042
Phone: (859) 283-2475
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NORTHERN KENTUCKY PAIN RELIEF PHYSICAL MEDICINE CENTER PSC is a nurse practitioner in Florence, KY. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. NORTHERN KENTUCKY PAIN RELIEF PHYSICAL MEDICINE CENTER PSC NPI is 1649554031. The provider is registered as an organization entity type.

The provider's business location address is:

7560 US HWY 42
FLORENCE, KY
ZIP 41042-469
Phone: (859) 283-2475
Fax: (859) 283-0097

The provider's authorized official is Richard M Dammel .
The authorized official title is Owner and has the following contact phone number (513) 404-6983.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 12/3/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2363LF0000XNurse PractitionerFamilyNo
3363LG0600XNurse PractitionerGerontologyNo
4111N00000XChiropractorNo
5207R00000XInternal MedicineNo
6208D00000XGeneral PracticeNo
7363L00000XNurse PractitionerYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1710021850MEDICAIDKENTUCKY
27100439820MEDICAIDKENTUCKY
36682330001OTHERKENTUCKYMEDICARE DME SUPPLIER
47100439880MEDICAIDKENTUCKY

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.