FAST PACE KENTUCKY PLLC NPI 1952068207

NPI Information

NPI: 1952068207
Provider Name: FAST PACE KENTUCKY, PLLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 44D2278299

Address:
1151 W 9TH ST
RUSSELLVILLE, KY
ZIP 42276
Phone: (270) 847-4033
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FAST PACE KENTUCKY, PLLC is a rural health clinic center in Russellville, KY. FAST PACE KENTUCKY, PLLC NPI is 1952068207. The provider is registered as an organization entity type.

The provider's business location address is:

1151 W 9TH ST
RUSSELLVILLE, KY
ZIP 42276-760
Phone: (270) 847-4033

The provider's authorized official is Robert Benson .
The authorized official title is Coo and has the following contact phone number (931) 253-1110.

The CLIA number assigned to this NPI record is 44D2278299 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 11/22/2021.

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	261QR1300X	Clinic/Center	Rural Health			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: 5/5/2024

NPI Synchronization or Removal

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