INTEGRATIVE HEALTH CENTERS OF KENTUCKY LLC NPI 1760017180

NPI Information

NPI: 1760017180
Provider Name: INTEGRATIVE HEALTH CENTERS OF KENTUCKY LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1894 CEDAR ST
MC KENZIE, TN
ZIP 38201
Phone: (731) 352-0603
Get Directions

INTEGRATIVE HEALTH CENTERS OF KENTUCKY LLC is an addiction medicine family medicine in Mc Kenzie, TN. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. INTEGRATIVE HEALTH CENTERS OF KENTUCKY LLC NPI is 1760017180. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1894 CEDAR ST
MC KENZIE, TN
ZIP 38201-206
Phone: (731) 352-0603

The provider's authorized official is Paul Caudill .
The authorized official title is President and has the following contact phone number (615) 521-9097.

The enumeration date for this NPI number is 3/5/2020 and was last updated on 3/10/2020.

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	207QA0401X	Family Medicine	Addiction Medicine			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: 4/28/2024

NPI Synchronization or Removal

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