Organization Active NPI

Western Kentucky Neurology Inc

  • Neurology Physician
  • Murray, KY
National Provider Identifier
1083938567
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
42243 Issued in KY
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

Updated by the provider on Jun 4, 2010

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7100084760MedicaidKY
42243OtherKYKENTUCKY BOARD OF MEDICAL LICENSURE: LICENSE NUMBER
1043474844OtherTYPE 1 NPI NUMBER
11877669OtherCAQH PROVIDER ID

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.