Active NPI
Bruce L Kinney
- Obstetrics Physician
- Prestonsburg, KY
National Provider Identifier
1073792669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- Legal business name
- BRUCE L KINNEY
- Practice address
- 5000 Ky Route 321 Ste 2127
Prestonsburg, KY 41653-9113 - Phone
- (606) 478-4287
- NPI assigned
- Oct 31, 2007
- 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
- Linda Williams
- Title
- Billing Coordinator
- Phone
- (606) 478-4287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | Primary |
Addresses
Primary practice location
5000 Ky Route 321 Ste 2127
Prestonsburg, KY 41653-9113
Mailing address
PO Box 949
Paintsville, KY 41240-0949
Phone (606) 478-4287
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64097256 | Medicaid | KY | |
| DE8139 | Other | KY | RAILROAD MEDICARE |
| 000000384921 | Other | KY | ANTHEM BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
5000 Ky Route 321
#2127
Prestonsburg, KY 41653
Phone (606) 889-6041
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Defiance, OH
- NPI 1235199696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1073792669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "PAINTSVILLE",
"state": "KY",
"postal_code": "412400949",
"telephone_number": "606-478-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 KY ROUTE 321 STE 2127",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416539113",
"telephone_number": "606-478-4287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE L KINNEY",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "606-478-4287"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64097256",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE8139",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000384921",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.