Kayla Amburgey
Individual provider Active NPI Other Technician · Pippa Passes, KY
NPI 1215248240 · NPPES record last updated Jun 24, 2010
Key facts
- NPI
- 1215248240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 6740 Highway 899
Pippa Passes, KY 41844-8934 - Phone
- (606) 368-2299
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
6740 Highway 899
Pippa Passes, KY 41844-8934
Mailing address
115 Rockwood LN
Hazard, KY 41701-9415
Phone (606) 436-5761
NPI Registry JSON
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1215248240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ROCKWOOD LN",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019415",
"telephone_number": "606-436-5761",
"fax_number": "606-436-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6740 HIGHWAY 899",
"city": "PIPPA PASSES",
"state": "KY",
"postal_code": "418448934",
"telephone_number": "606-368-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBURGEY",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pippa Passes, KY
All providers in Pippa Passes, KY · Other Technician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.