Kentucky Cancerlink, Inc.

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

KENTUCKY CANCERLINK, INC.

Practice address

2425 Regency Rd Ste B
Lexington, KY 40503-2948

Phone

(859) 309-1700

Fax

(859) 368-8418

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Garrison

Title

Credentialing and Billing Represent

Phone

(888) 222-7008

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1336734912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 REGENCY RD STE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032948",
            "telephone_number": "859-309-1700",
            "fax_number": "859-368-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 REGENCY RD STE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032948",
            "telephone_number": "859-309-1700",
            "fax_number": "859-368-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CANCERLINK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING AND BILLING REPRESENT",
        "authorized_official_telephone_number": "888-222-7008"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://kycancerlink.org/",
            "affiliation": "N",
            "endpointDescription": "Fax from medical records EHR",
            "address_1": "2425 Regency Rd Ste B",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405032948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenton Healthcare Center
• Kentuckentucky Foot & Ankle Associates, PLLC
• Kentuckiana ABA LLC
• Kentucky Audiology & Tinnitus Services, LLC
• Kentucky Breast Imaging PLLC
• Kentucky Cardiology, PLLC
• Kentucky Center for Oral & Maxillofacial Surgery
• Kentucky Center for Oral & Maxillofacial Surgery
• Kentucky Center for Oral & Maxillofacial Surgery PSC
• Kentucky Center for Oral & Maxillofacial Surgery PSC

• Recovery Care Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Recovery Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.