Pain Management Kentucky Psc

LBN: Pain Management Kentucky Psc
Pain Management Kentucky Psc is an health care organization with primary practice located at 4402 Churchman Ave Suite 409, Louisville KY 40215-1190. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Pain Management Kentucky Psc can be contacted via phone (502) 366-7318, or through Geevarghese, Kunnathu P. via phone (502) 366-7317.

Contact Information

Primary practice address
4402 Churchman Ave Suite 409 Louisville KY 40215-1190
Phone: (502) 366-7318
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Geevarghese, Kunnathu P. Doctor of Medicine (MD)
Phone: (502) 366-7317

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1336230820
LBN Legal business name Pain Management Kentucky Psc
DBA Doing business as
Authorized official Geevarghese, Kunnathu P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated May 6th, 2015 - about 11 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 1336230820 NPPES
Kentucky MEDICAID 65933921

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