NPIMap

Organization Active NPI

KC Wellness, Inc.

  • Public Health or Welfare Agency
  • Lexington, KY
National Provider Identifier
1144618067
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
1094548 Issued in KY
Legal business name
KC WELLNESS, INC.
Practice address
824 E Euclid Ave
Suite 101
Lexington, KY 40502-1785
Phone
(859) 269-9934
NPI assigned
Dec 30, 2014
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Mrs. Carol Donnelly, CHES
Title
President
Phone
(859) 269-9934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 1094548 KY Primary

Addresses

Primary practice location

824 E Euclid Ave
Suite 101
Lexington, KY 40502-1785

Mailing address

824 Euclid Avenue
Suite 101
Lexington, KY 40502-1785
Phone (859) 269-9934

National Provider Directory

National Provider Directory

Locations

824 Euclid Ave
Ste 101
Lexington, KY 40502
Phone (859) 269-9934

Practitioners & affiliated clinicians

Practitioners 1

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": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1144618067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 EUCLID AVENUE",
            "address_2": "SUITE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021785",
            "telephone_number": "859-269-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E EUCLID AVE",
            "address_2": "SUITE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021785",
            "telephone_number": "859-269-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-269-9934",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHES"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": "1094548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.