Kentucky Christian Lab Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KENTUCKY CHRISTIAN LAB SERVICES LLC

Practice address

263 Huntsville Quality Rd Ste B
Morgantown, KY 42261-7395

Phone

(270) 516-1601

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Robin Deere

Title

Credentialing

Phone

(606) 371-2369

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1780451435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HUNTSVILLE QUALITY RD STE B",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 HUNTSVILLE QUALITY RD STE B",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617395",
            "telephone_number": "270-516-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CHRISTIAN LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "DEERE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "606-371-2369"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Chiropractic, PLLC
• Joseph Ryan Jackson, D.C.
• John Mark Jennings, LCSW, BCD
• Jessica Danielle Johnson, APRN
• Nolan Johnson
• Kentucky Christian Recovery, LLC (Kentucky Christian Recovery Residential)
• Kentucky Christian Recovery, LLC
• Andrea Kiernan, LPCC
• Mya Kimberling
• Abby Lacefield

• Clinical Medical Laboratory in Morgantown, KY
• Providers in Morgantown, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.