Kentuckiana Pain Specialists Psc

LBN: Kentuckiana Pain Specialists Psc
Kentuckiana Pain Specialists Psc is an health care organization with primary practice located at 3710 Chamberlain Ln Ste A , Louisville KY 40241-2002. The organization recently has 5 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Kentuckiana Pain Specialists Psc can be contacted via phone (502) 995-4004, or through Nair, Ajith via phone (502) 995-4004.

Contact Information

Primary practice address
3710 Chamberlain Ln Ste A Louisville KY 40241-2002
Phone: (502) 995-4004
Fax: (502) 933-5559
Website:
Map and Directions
Authorized official contact:
Name: Nair, Ajith Doctor of Medicine (MD)
Phone: (502) 995-4004

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1295311058
LBN Legal business name Kentuckiana Pain Specialists Psc
DBA Doing business as
Authorized official Nair, Ajith Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 22nd, 2021
Last updated Dec 1st, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295311058 NPPES
Kentucky MEDICAID 7100495680

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