Kentucky Mountain Interventional and Infusion Therapies, LLC.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

KENTUCKY MOUNTAIN INTERVENTIONAL AND INFUSION THERAPIES, LLC.

Practice address

101 Hibbard St Ste 200
Pikeville, KY 41501-1788

Phone

(606) 433-0404

Fax

(606) 432-0405

NPI assigned

Jun 5, 2020

Organization subpart

No

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

Authorized official

Name

Brandy Meadows, NP

Title

Member, Nurse Practitioner

Phone

(606) 433-0404

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1679197529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HIBBARD ST STE 200",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011788",
            "telephone_number": "606-433-0404",
            "fax_number": "606-432-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HIBBARD ST STE 200",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011788",
            "telephone_number": "606-433-0404",
            "fax_number": "606-432-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MOUNTAIN INTERVENTIONAL AND INFUSION THERAPIES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "MEMBER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "606-433-0404",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasandra C Keeslar, APRN
• Shawna Marie Kelly
• William Anthony Kendall, MD
• Kentucky Mountain Health, LLC
• Kentucky Mountain Health, LLC
• Kentucky Pain Physicians
• Kentucky Pain Physicians, PSC
• Abdallah Kernaf, MD
• Justin Kent Kerr, CADC
• Kevin Brandt Johnson, PSC

• Interventional Pain Medicine Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Interventional Pain Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.