Organization Active NPI

Western Kentucky Institute of Plastic, Reconstructive and Aesthetic Su

  • Specialist
  • Hopkinsville, KY
National Provider Identifier
1417953209
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27209 Issued in KY
Legal business name
WESTERN KENTUCKY INSTITUTE OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC SU
Practice address
1724 Kenton St
Suite 1 C
Hopkinsville, KY 42240-1981
Phone
(270) 885-1140
Fax
(270) 885-1183
NPI assigned
Jun 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Dr. George R Valentini, M.D.
Title
President/Owner
Phone
(270) 885-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 27209 KY Primary

Addresses

Primary practice location

1724 Kenton St
Suite 1 C
Hopkinsville, KY 42240-1981

Mailing address

PO Box 4025
Hopkinsville, KY 42241-4025
Phone (270) 885-1140

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1417953209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4025",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422414025",
            "telephone_number": "270-885-1140",
            "fax_number": "270-885-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 KENTON ST",
            "address_2": "SUITE 1 C",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401981",
            "telephone_number": "270-885-1140",
            "fax_number": "270-885-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY INSTITUTE OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC SU",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-26",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "VALENTINI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "270-885-1140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "27209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.