Integrative Health Centers of Kentucky LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

INTEGRATIVE HEALTH CENTERS OF KENTUCKY LLC

Practice address

1894 Cedar St
MC Kenzie, TN 38201-2206

Phone

(731) 352-0603

NPI assigned

Mar 5, 2020

Last updated

Mar 10, 2020By 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

Paul Caudill

Title

President

Phone

(615) 521-9097

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1760017180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 16TH AVE S STE C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122327",
            "telephone_number": "615-521-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 CEDAR ST",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012206",
            "telephone_number": "731-352-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 16th Ave S Ste C",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372122327",
            "country_code": "US",
            "telephone_number": "615-406-7036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803A Country Club Ln",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422401370",
            "country_code": "US",
            "telephone_number": "615-521-9097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH CENTERS OF KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-521-9097"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John E Motheral

• Addiction Medicine (Family Medicine) Physician in McKenzie, TN
• Providers in McKenzie, TN by specialty
• Addiction Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.