Tri-State Advanced Pain Management Pllc

LBN: Tri-State Advanced Pain Management Pllc
Tri-State Advanced Pain Management Pllc is an health care organization with primary practice located at 3332 Villa Pt Ste 104 , Owensboro KY 42303-7818. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Tri-State Advanced Pain Management Pllc can be contacted via phone (270) 684-5679, or through Kim, Suk Ki via phone (270) 684-5679.

Contact Information

Primary practice address
3332 Villa Pt Ste 104 Owensboro KY 42303-7818
Phone: (270) 684-5679
Fax: (270) 684-5753
Website:
Map and Directions
Authorized official contact:
Name: Kim, Suk Ki Doctor of Medicine (MD)
Phone: (270) 684-5679

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1922186378
LBN Legal business name Tri-State Advanced Pain Management Pllc
DBA Doing business as
Authorized official Kim, Suk Ki Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Apr 12th, 2018 - about 6 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 1922186378 NPPES
Kentucky MEDICAID 64177280
Kentucky MEDICAID 200426500A

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