Individual provider Active NPI

Andrew Kinchen, MD

  • Family Medicine Physician
  • Paducah, KY
National Provider Identifier
1124554951
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55186 Issued in KY
Practice address
2331 New Holt Rd
Paducah, KY 42001-7404
Phone
(270) 441-4777
Fax
(270) 441-4780
NPI assigned
May 11, 2017
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55186 KY Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 55186 KY

Addresses

Primary practice location

2331 New Holt Rd
Paducah, KY 42001-7404

Mailing address

2331 New Holt Rd
Paducah, KY 42001-7404
Phone (270) 441-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713003900 KY Practitioner - Family PracticePractitioner - Sports Medicine 8123373420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
James Kyle Turnbo MD PSCGroup PAC ID 1557519600, 6 clinicians

Practice addresses (Care Compare)

2331 New Holt Rd
Paducah, KY 42001-7404
Phone (270) 441-4777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
James Kyle Turnbo M.D. PSC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

2331 New Holt Rd
Paducah, KY 42001
Phone (270) 441-4777

546 Lone Oak Rd
Paducah, KY 42003
Phone (270) 441-4777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1124554951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017404",
            "telephone_number": "270-441-4777",
            "fax_number": "270-441-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017404",
            "telephone_number": "270-441-4777",
            "fax_number": "270-441-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCHEN",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "55186",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KY",
            "license": "55186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.