Key Pain Management and Treatment Center, Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

58676 Issued in OH

Legal business name

KEY PAIN MANAGEMENT AND TREATMENT CENTER, INC

Practice address

2800 Hayes Ave
Building a
Sandusky, OH 44870-7248

Phone

(419) 625-6966

Fax

(419) 625-6997

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vimal Shiv Kumar, M.D.

Title

President

Phone

(419) 625-6966

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1750595476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1956",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448711956",
            "telephone_number": "419-625-6966",
            "fax_number": "419-625-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HAYES AVE",
            "address_2": "BUILDING A",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707248",
            "telephone_number": "419-625-6966",
            "fax_number": "419-625-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY PAIN MANAGEMENT AND TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "VIMAL",
        "authorized_official_middle_name": "SHIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-625-6966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "58676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061610",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Kennebeck, PHD
• Carrie Kennedy, LISA
• Karen Kennedy, M.A. CCC-SLP
• Sheri Kershaw, NP-C
• Ashwin C Kesaria, M.D.
• Key Seating & Mobility, LLC
• Narinder N Khosla, MD
• Frank W Kickel, MD
• Holly Ann Kidd X
• John Bruce Kijowski, LISW-S

• Interventional Pain Medicine Physician in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Interventional Pain Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.