NKY MED LLC NPI 1649681099

NPI Information

NPI: 1649681099
Provider Name: NKY MED, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 18D2119754

Address:
1717 MADISON AVE
COVINGTON, KY
ZIP 41011
Phone: (859) 360-0250
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NKY MED, LLC is a methadone clinic center in Covington, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. NKY MED, LLC NPI is 1649681099. The provider is registered as an organization entity type.

The provider's business location address is:

1717 MADISON AVE
COVINGTON, KY
ZIP 41011-330
Phone: (859) 360-0250

The provider's authorized official is Robyn Tanis .
The authorized official title is Executive Director Of Contract Mgmt and has the following contact phone number (856) 533-8762.

The CLIA number assigned to this NPI record is 18D2119754 - other - alcohol and drug treatmt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2014 and was last updated on 12/20/2019.

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	261QM2800X	Clinic/Center	Methadone	810355	KENTUCKY	Yes

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	810355	OTHER	KENTUCKY	STATE LICNESE

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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