Kentucky Mountain Health, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02719 Issued in KY

Legal business name

KENTUCKY MOUNTAIN HEALTH, LLC

Practice address

101 Hibbard St Ste 100
Pikeville, KY 41501-1788

Phone

(606) 433-0404

Fax

(606) 432-0405

NPI assigned

Feb 27, 2008

Last updated

Jan 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brandy M Meadows, BSN

Title

Co-Owner

Phone

(606) 433-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1346419926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HIBBARD ST STE 100",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011788",
            "telephone_number": "606-433-0404",
            "fax_number": "606-432-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HIBBARD ST STE 100",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011788",
            "telephone_number": "606-433-0404",
            "fax_number": "606-432-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Weddington Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013204",
            "country_code": "US",
            "telephone_number": "606-433-0404",
            "fax_number": "606-432-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENTUCKY MOUNTAIN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "606-433-0404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "18D1083376",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha M Keene, APRN
• Kasandra C Keeslar, APRN
• Shawna Marie Kelly
• William Anthony Kendall, MD
• Kentucky Mountain Health, LLC
• Kentucky Mountain Interventional and Infusion Therapies, LLC.
• Kentucky Pain Physicians
• Kentucky Pain Physicians, PSC
• Abdallah Kernaf, MD
• Justin Kent Kerr, CADC

• Family Medicine Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.