Kentucky Pain Management Services

LBN: Kentucky Pain Management Services
Kentucky Pain Management Services is an health care organization with primary practice located at 311 Roy Campbell Drive , Hazard KY 41701. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Pain, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Pain is the primary health care specialty. Kentucky Pain Management Services can be contacted via phone (606) 487-0776, or through Mullins, Phillip R via phone (606) 487-0776.

Contact Information

Primary practice address
311 Roy Campbell Drive Hazard KY 41701
Phone: (606) 487-0776
Fax: (606) 487-0777
Website:
Map and Directions
Authorized official contact:
Name: Mullins, Phillip R
Phone: (606) 487-0776

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Ambulatory Health Care Facilities / Pain 261QP3300X 29445 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1376692657
LBN Legal business name Kentucky Pain Management Services
DBA Doing business as
Authorized official Mullins, Phillip R
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 15th, 2015 - about 10 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 1376692657 NPPES
Kentucky Other 000000509781 ANTHEM BCBS
Kentucky MEDICAID 7100002910 ANTHEM BCBS
Kentucky Other 29445 ANTHEM BCBS

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