TRI-STATE ADVANCED PAIN MANAGEMENT PLLC NPI 1922186378

NPI Information

  • NPI: 1922186378
  • Provider Name: TRI-STATE ADVANCED PAIN MANAGEMENT PLLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 3332 VILLA PT STE 104
    OWENSBORO, KY
    ZIP 42303
  • Phone: (270) 684-5679

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NPI Details

TRI-STATE ADVANCED PAIN MANAGEMENT PLLC is an interventional pain medicine pain medicine in Owensboro, KY. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. TRI-STATE ADVANCED PAIN MANAGEMENT PLLC NPI is 1922186378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3332 VILLA PT STE 104
OWENSBORO, KY
ZIP 42303-818
Phone: (270) 684-5679
Fax: (270) 684-5753

The provider's authorized official is Suk Ki Kim .
The authorized official title is President and has the following contact phone number (270) 684-5679.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 4/12/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineYes

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
164177280MEDICAIDKENTUCKY
2200426500AMEDICAIDINDIANA

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: 3/30/2025

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