Central Kentucky Interventional Pain Center, Pllc
LBN: Central Kentucky Interventional Pain Center, Pllc
Central Kentucky Interventional Pain Center, Pllc is an health care organization with primary practice located at 300 W Broadway St , Danville KY 40422-1408. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Central Kentucky Interventional Pain Center, Pllc can be contacted via phone (859) 236-0606, or through Siddiqui, Khursheed via phone (859) 236-0606.
Contact Information
Primary practice address
300 W Broadway St
Danville KY 40422-1408
Phone: (859) 236-0606
Fax: (859) 236-0066
Website:
Authorized official contact:
Name: Siddiqui, Khursheed Doctor of Medicine (MD)
Phone: (859) 236-0606
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 28741 | Kentucky |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
| NPI number | 1407855935 |
|---|---|
| LBN Legal business name | Central Kentucky Interventional Pain Center, Pllc |
| DBA Doing business as | |
| Authorized official | Siddiqui, Khursheed Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Dec 28th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407855935 | NPPES |
| Kentucky | MEDICAID | 65942906 |
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