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

Organization subpart

No

Name

Mrs. Leigh M Horton

Title

Asst Office Manager

Phone

(731) 642-8884

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2013.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM3751",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3701995",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Coleman, O.D.
• 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

• All providers in Paris, TN
• 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.