Means Adult Primary Care Clinic Of Kentucky Pllc
LBN: Means Adult Primary Care Clinic Of Kentucky Pllc
Means Adult Primary Care Clinic Of Kentucky Pllc is an health care organization with primary practice located at 1011 Brandy Ln Ste A , Richmond KY 40475-8441. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Means Adult Primary Care Clinic Of Kentucky Pllc can be contacted via phone (859) 286-7555, or through Butros, Rezkalla via phone (859) 499-0717.
Contact Information
Primary practice address
1011 Brandy Ln Ste A
Richmond KY 40475-8441
Phone: (859) 286-7555
Fax: (859) 661-4925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1265294003 |
|---|---|
| LBN Legal business name | Means Adult Primary Care Clinic Of Kentucky Pllc |
| DBA Doing business as | |
| Authorized official | Butros, Rezkalla Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2024 |
| Last updated | Jun 26th, 2024 - about last year |
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 | 1265294003 | NPPES |
| Kentucky | MEDICAID | 7100966960 | |
| Kentucky | MEDICAID | 7100963540 | |
| Kentucky | MEDICAID | 7100960720 | |
| Kentucky | MEDICAID | 7100981520 | |
| Kentucky | MEDICAID | 7100961550 |
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