Active NPI
Western Kentucky Neurology Inc
- Neurology Physician
- Murray, KY
National Provider Identifier
1083938567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 42243
- Legal business name
- WESTERN KENTUCKY NEUROLOGY INC
- Practice address
- 300 S 8TH St
Suite 282 West
Murray, KY 42071-2400 - Phone
- (713) 419-1592
- NPI assigned
- Mar 26, 2010
- 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. Christopher Michael King, M.D.
- Title
- Neurologist
- Phone
- (713) 419-1592
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 42243 | KY | Primary |
Addresses
Primary practice location
300 S 8TH St
Suite 282 West
Murray, KY 42071-2400
Mailing address
2108 Darby Dan Dr
Murray, KY 42071-7119
Phone (713) 419-1592
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100084760 | Medicaid | KY | |
| 42243 | Other | KY | KENTUCKY BOARD OF MEDICAL LICENSURE: LICENSE NUMBER |
| 1043474844 | Other | TYPE 1 NPI NUMBER | |
| 11877669 | Other | CAQH PROVIDER ID |
National Provider Directory
National Provider DirectoryLocations
300 S 8th St
Ste 282W
Murray, KY 42071
Phone (270) 522-0170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275609600000",
"number": "1083938567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 DARBY DAN DR",
"city": "MURRAY",
"state": "KY",
"postal_code": "420717119",
"telephone_number": "713-419-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 8TH ST",
"address_2": "SUITE 282 WEST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712400",
"telephone_number": "713-419-1592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN KENTUCKY NEUROLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-26",
"last_updated": "2010-06-04",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "NEUROLOGIST",
"authorized_official_telephone_number": "713-419-1592",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "42243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100084760",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF MEDICAL LICENSURE: LICENSE NUMBER",
"identifier": "42243",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI NUMBER",
"identifier": "1043474844",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "11877669",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.