Health Services of Kentucky, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

4426P Issued in KY

Legal business name

HEALTH SERVICES OF KENTUCKY, PLLC

Practice address

122 N Watterson TRL
Louisville, KY 40243-2700

Phone

(502) 314-7050

Fax

(502) 245-5964

NPI assigned

Oct 6, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Marcia Lynne Shrock, ARNP

Title

Onwer/Partner

Phone

(502) 314-7050

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1487989687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7766",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402570766",
            "telephone_number": "502-314-7050",
            "fax_number": "502-245-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N WATTERSON TRL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432700",
            "telephone_number": "502-314-7050",
            "fax_number": "502-245-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES OF KENTUCKY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "SHROCK",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "ONWER/PARTNER",
        "authorized_official_telephone_number": "502-314-7050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "4426P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL",
            "identifier": "1548389752",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "4426P",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.