Kentucky Lung Clinic, Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

KENTUCKY LUNG CLINIC, INC

Practice address

200 Medical Center Dr
Ste. 2M
Hazard, KY 41701-9466

Phone

(606) 487-1818

Fax

(606) 487-8448

NPI assigned

Aug 31, 2006

Last updated

Dec 27, 2013By 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

Firas Koura, MD

Title

President

Phone

(606) 487-1818

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Akers, APRN

  • Nurse Practitioner
  • Hazard, KY
  • NPI 1417224643
  NPD (past)
• Manar K Al Shahrouri, MD

  • Pulmonary Disease Physician
  • Green Bay, WI
  • NPI 1093731382
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1487766812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "STE. 2M",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-1818",
            "fax_number": "606-487-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "STE. 2M",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-1818",
            "fax_number": "606-487-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY LUNG CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "KOURA",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-487-1818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kctcs Foundation Inc.
• Sherry L Kelly, APRN
• Daniel E. Kenady, MD
• Kentucky CVS Pharmacy LLC (CVS Pharmacy # 10155)
• Kentucky Institute for Eye Health and Surgery (Ky Eye Institute)
• Kentucky Medical Services Foundation
• Kentucky Mountain Health Alliance (Kentucky Mountain Health Alliance Pharmacy)
• Kentucky Mountain Health Alliance, Inc.
• Kentucky Mountain Imaging LLC
• Kentucky Mountain Radiology Services PLLC

• Pulmonary Disease Physician in Hazard, KY
• Providers in Hazard, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.