NPI 1306108618

Tri-State Advanced Pain Management

Organisation Interventional Pain Medicine Physician Madisonville, KY

Practice location

Address: 444 S Main St Suite 133, Madisonville, KY 42431-2846
Phone: (270) 825-4732
Fax: (270) 825-4733
Mailing address: 3332 Villa PT Suite 104, Owensboro, KY 42303-7818

Authorised official

Name: Suk Ki Kim
Title: President
Phone: (270) 684-5679

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 17728 (KY)

Other Pain Medicine providers in Kentucky →

Registry record

NPI: 1306108618
Entity type: Organization
NPI issued: 12 Jun 2012
Record last updated: 10 Jun 2013

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.