DAMON GATEWOOD MD PLLC NPI 1962574897

NPI Information

  • NPI: 1962574897
  • Provider Name: DAMON GATEWOOD MD PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: KENTUCKY RIVER MEDICAL PARTNERS
  • Address: 58 CITATION LANE
    CAMPBELLSBURG, KY
    ZIP 40011
  • Phone: (502) 532-7341

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NPI Details

DAMON GATEWOOD MD PLLC is a family medicine in Campbellsburg, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DAMON GATEWOOD MD PLLC NPI is 1962574897. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kentucky River Medical Partners.

The provider's business location address is:

58 CITATION LANE
CAMPBELLSBURG, KY
ZIP 40011-426
Phone: (502) 532-7341
Fax: (502) 532-0127

The provider's authorized official is Damon L Gatewood .
The authorized official title is Owner and has the following contact phone number (502) 532-7341.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 6/5/2014.

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
1363LF0000XNurse PractitionerFamily3007904KENTUCKYNo
2207Q00000XFamily Medicine37028KENTUCKYYes

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
150003253OTHERKENTUCKYPASSPORT HEALTH PLAN
27100268000MEDICAIDKENTUCKY
37246MEDICARE PINKENTUCKY
47100282440MEDICAIDKENTUCKY
5DG4879MEDICARE PINKENTUCKY

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: 11/21/2025

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