Active NPI
Kathleen P. Flynn, PA-C
- Physician Assistant
- Barbourville, KY
National Provider Identifier
1275583262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA011
- Practice address
- 602 Knox St
Knox Family Medicine
Barbourville, KY 40906-1304 - Phone
- (606) 546-6027
- Fax
- (606) 546-2084
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA011 | KY | Primary |
Addresses
Primary practice location
602 Knox St
Knox Family Medicine
Barbourville, KY 40906-1304
Mailing address
602 Knox St
Knox Family Medicine
Barbourville, KY 40906-1304
Phone (606) 546-6027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95002648 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalist Services of Kentucky LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Middlesboro, KY
- NPI 1255655270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1275583262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 KNOX ST",
"address_2": "KNOX FAMILY MEDICINE",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061304",
"telephone_number": "606-546-6027",
"fax_number": "606-546-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 KNOX ST",
"address_2": "KNOX FAMILY MEDICINE",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061304",
"telephone_number": "606-546-6027",
"fax_number": "606-546-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "KATHLEEN",
"middle_name": "P.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95002648",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.