Active NPI
Letek PLLC
- Primary Care Clinic/Center
- Mount Vernon, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 38140
- Legal business name
- LETEK PLLC
- Practice address
- 75 East Main Street
Mount Vernon, KY 40456 - Phone
- (859) 358-1023
- Fax
- (606) 392-2139
- NPI assigned
- Aug 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas William Fowles, M.D.
- Title
- Owner
- Phone
- (859) 358-3069
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38140 | KY | |
| Primary Care Clinic/Center | 261QP2300X | 38140 | KY | Primary |
Addresses
Primary practice location
75 East Main Street
Mount Vernon, KY 40456
Mailing address
409 Forest Trail Dr
Berea, KY 40403-9690
Phone (731) 571-9223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64102726 | Medicaid | KY | |
| 7846668 | Other | KY | AETNA PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
942 W Main St
Unit B
Mount Vernon, KY 40456
Phone (606) 392-2207
75 Main St
Mount Vernon, KY 40456
225 E State Route 14
Ste 102
Columbiana, OH 44408
Phone (330) 729-1934
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Mount Vernon, KY
- NPI 1285679100
-
- Gerontology Nurse Practitioner
- Lexington, KY
- NPI 1669034781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1043766801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 FOREST TRAIL DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404039690",
"telephone_number": "731-571-9223",
"fax_number": "931-901-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 EAST MAIN STREET",
"city": "MOUNT VERNON",
"state": "KY",
"postal_code": "40456",
"telephone_number": "859-358-1023",
"fax_number": "606-392-2139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LETEK PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "FOWLES",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-358-3069",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": "38140",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "KY",
"license": "38140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64102726",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "7846668",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.