Imac Medical of Kentucky PSC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IMAC MEDICAL OF KENTUCKY PSC

Practice address

2725 James Sanders Blvd Ste a
Paducah, KY 42001-8405

Phone

(270) 554-5114

Fax

(270) 215-4834

NPI assigned

Jun 17, 2022

Organization subpart

Yes

Parent organization

IMAC MEDICAL OF KENTUCKY PSCAs reported in NPPES

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

Authorized official

Name

Bailee Boyett

Title

Credentialing Specialist

Phone

(615) 678-0024

Specialties & licenses 1

Addresses

Part of

Imac Medical of Kentucky PSC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Imac Medical of Kentucky PSC

  • Pain Management Registered Nurse
  • Lexington, KY
  • NPI 1003562810
  NPPES parent name

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1720719172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WESTGATE CIR STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278396",
            "telephone_number": "615-637-7333",
            "fax_number": "615-663-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 JAMES SANDERS BLVD STE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018405",
            "telephone_number": "270-554-5114",
            "fax_number": "270-215-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAC MEDICAL OF KENTUCKY PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMAC MEDICAL OF KENTUCKY PSC",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "BOYETT",
        "authorized_official_first_name": "BAILEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "615-678-0024"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Lyn Hurley II
• Mark H Hurt, LADC
• Monica R Hutchins, ARNP
• Tara R Hutto, D.P.T.
• Laura Ighedesa
• Infectious Diseases Associates PLLC
• Infinite Grace Wellness PLLC
• Monica Jo Inglish, APRN
• Lexie Inman
• Sharon R Inman

• Durable Medical Equipment & Medical Supplies in Paducah, KY
• Providers in Paducah, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.