Kentuckiana Premier PST Center, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

KENTUCKIANA PREMIER PST CENTER, LLC

Practice address

605 N Shore Dr
Ste 202
Jeffersonville, IN 47130-3134

Phone

(502) 532-1811

Fax

(502) 410-0445

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Tom Lumley

Title

Cfo

Phone

(502) 532-1811

Specialties & licenses 1

Addresses

Other names 1

• KPTC Other name

Locations

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1124393285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N SHORE DR",
            "address_2": "STE 202",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303134",
            "telephone_number": "502-532-1811",
            "fax_number": "502-410-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N SHORE DR",
            "address_2": "STE 202",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303134",
            "telephone_number": "502-532-1811",
            "fax_number": "502-410-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA PREMIER PST CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "LUMLEY",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-532-1811"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KPTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Acupuncturist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Acupuncturist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.