NPI 1053647313

Eastern Kentucky Pain Management Center LLC

Organisation Physical Medicine & Rehabilitation Physician Richmond, KY

Practice location

Address: 1694 Northgate Dr, Richmond, KY 40475-1066
Phone: (859) 626-7755
Fax: (859) 626-7766

Authorised official

Name: Brad Hamblen
Title: Member
Phone: (859) 746-2444

Registered specialties (3)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1053647313
Entity type: Organization
NPI issued: 21 Oct 2009
Record last updated: 26 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.