Kentucky Lake Urology Clinic

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

KENTUCKY LAKE UROLOGY CLINIC

Practice address

1002 Cornerstone Dr
Ste a
Paris, TN 38242

Phone

(731) 642-8884

Fax

(731) 642-8865

NPI assigned

Apr 26, 2006

Last updated

Jan 22, 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

Mrs. Leigh M Horton

Title

Asst Office Manager

Phone

(731) 642-8884

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1528025574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 CORNERSTONE DR",
            "address_2": "STE A",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "38242",
            "telephone_number": "731-642-8884",
            "fax_number": "731-642-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 CORNERSTONE DR",
            "address_2": "STE A",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "38242",
            "telephone_number": "731-642-8884",
            "fax_number": "731-642-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY LAKE UROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASST OFFICE MANAGER",
        "authorized_official_telephone_number": "731-642-8884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Coleman, O.D. (Townsend & Coleman Optometry)
• Chelsea Joyce, PA
• David NMN Kao, P.A.-C.
• Grace Burden Kendall, DC
• Kentucky Lake Surgery Center LLC
• Gibson Dan Kimberlin, MD
• Krista Klingenberg
• Mary Katharine Klopfenstein, OT
• Melinda A Knott, APRN-BC
• Paul D. Koerner, M.D

• Urology Physician in Paris, TN
• Providers in Paris, TN by specialty
• Urology Physician in Tennessee

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