NPIMap

Organization Active NPI

Kfoury Medical Specialists PLLC

  • Infectious Disease Physician
  • Corbin, KY
National Provider Identifier
1093833998
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
38881 Issued in KY
Legal business name
KFOURY MEDICAL SPECIALISTS PLLC
Practice address
1 Trillium Way
Corbin, KY 40701-8727
Phone
(606) 309-1806
Fax
(606) 657-5734
NPI assigned
Mar 27, 2007
Last updated
Oct 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wajdi S Kfoury, MDNPI 1124010814
Title
Owner and Member
Phone
(606) 309-1806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Infectious Disease Physician 207RI0200X 38881 KY Primary

Addresses

Primary practice location

1 Trillium Way
Corbin, KY 40701-8727

Mailing address

PO Box 2828
London, KY 40743-2828
Phone (606) 309-1806

Other identifiers 2

IdentifierTypeStateIssuer
000000521523OtherKYBCBS OF KY
7100010200MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1093833998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407432828",
            "telephone_number": "606-309-1806",
            "fax_number": "606-657-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018727",
            "telephone_number": "606-309-1806",
            "fax_number": "606-657-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KFOURY MEDICAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "KFOURY",
        "authorized_official_first_name": "WAJDI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER AND MEMBER",
        "authorized_official_telephone_number": "606-309-1806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "38881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KY",
            "identifier": "000000521523",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100010200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.