Kishore Internal Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

33372 Issued in KY

Legal business name

KISHORE INTERNAL MEDICINE

Practice address

94 Marie Langdon Dr
Suite 2
Manchester, KY 40962-6353

Phone

(606) 599-0200

Fax

(606) 599-0202

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By 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

Dr. Jadhav Kumar Kishore, M.D.

Title

Owner

Phone

(606) 599-0200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437375839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MARIE LANGDON DR",
            "address_2": "SUITE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626353",
            "telephone_number": "606-599-0200",
            "fax_number": "606-599-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MARIE LANGDON DR",
            "address_2": "SUITE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626353",
            "telephone_number": "606-599-0200",
            "fax_number": "606-599-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHORE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISHORE",
        "authorized_official_first_name": "JADHAV",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-599-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "33372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JDL Consulting LLC (Clay Community Pharmacy combo)
• Bobbi Jean Jones, LPCC
• Deborah K Karsnitz, CNM
• Keerthana Kalengada Karumbaiah
• Kentucky Medical Investors, LLC (Laurel Creek Health Care Center)
• Kishore Internal Medicine, PSC
• L.a. Medical Supply, Inc.
• Rosetta Lakes
• Landmark of Laurel Creek Rehabilitation and Nursing Center
• Amanda M Langdon, OTRL

• Specialist in Manchester, KY
• Providers in Manchester, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.