Kentucky Interventional Spine

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

TP236 Issued in KY

Legal business name

KENTUCKY INTERVENTIONAL SPINE

Practice address

236 W Main St
Suite 203
Danville, KY 40422-1876

Phone

(859) 238-7746

NPI assigned

Sep 23, 2008

Last updated

Dec 14, 2011By 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

Rick Pellant, DO

Title

Sole Owner

Phone

(859) 238-7746

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1407006760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "address_2": "SUITE 203",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221876",
            "telephone_number": "859-238-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "address_2": "SUITE 203",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221876",
            "telephone_number": "859-238-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY INTERVENTIONAL SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "PELLANT",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "859-238-7746",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "KY",
            "license": "TP236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Kelso, AGACNP-BC
• Shana S Kench, LCSW
• Kenney Orthopedics of Danville LLC (Hanger Clinic II)
• Kentucky Counseling Associates, LLC
• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy # 06335)
• Kentucky School for the Deaf
• Katherine Kersey
• Charles Christian Key, M.D.
• Rachel Elizabeth Key, M.S. SLP
• Khursheed Siddiqui, MD PSC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Danville, KY
• Providers in Danville, KY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.