EASTERN KY CENTER FOR PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY NPI 1982879888

NPI Information

  • NPI: 1982879888
  • Provider Name: EASTERN KY CENTER FOR PLASTIC, RECONSTRUCTIVE & COSMETIC SURGERY
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: KENTUCKY CENTER FOR PLASTIC SURGERY
  • Address: 126 TRIVETTE DR
    SUITE 201
    PIKEVILLE, KY
    ZIP 41501
  • Phone: (606) 432-0061

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NPI Details

EASTERN KY CENTER FOR PLASTIC, RECONSTRUCTIVE & COSMETIC SURGERY is a medical specialty clinic center in Pikeville, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). EASTERN KY CENTER FOR PLASTIC, RECONSTRUCTIVE & COSMETIC SURGERY NPI is 1982879888. The provider is registered as an organization entity type.
The provider Is Doing Business As Kentucky Center For Plastic Surgery.

The provider's business location address is:

126 TRIVETTE DR
SUITE 201
PIKEVILLE, KY
ZIP 41501-275
Phone: (606) 432-0061
Fax: (606) 432-0095

The provider's authorized official is Mary Lyn T. Lu .
The authorized official title is President and has the following contact phone number (606) 432-0061.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 7/15/2010.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

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
11532903OTHERKENTUCKYUMWA
264256423MEDICAIDKENTUCKY
30114191000OTHERKENTUCKYWV MEDICAID
4C76650MEDICARE UPINKENTUCKY
5P100016435MEDICARE PINKENTUCKY
6240005992OTHERKENTUCKYR/R MEDICARE
7000000051790OTHERKENTUCKYBC/BS

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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