Eastern Kentucky Kidney Care, PSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

TP610 Issued in KY

Legal business name

EASTERN KENTUCKY KIDNEY CARE, PSC

Practice address

141 Weddington Branch Rd
Pikeville, KY 41501-3204

Phone

(606) 437-0662

Fax

(606) 437-0618

NPI assigned

Nov 9, 2007

Last updated

Feb 18, 2016By 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

Mr. Kassaw A Joseph, M.D.

Title

Physician/Owner

Phone

(606) 437-0662

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1881874592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2144",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022144",
            "telephone_number": "606-437-0662",
            "fax_number": "606-437-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WEDDINGTON BRANCH RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013204",
            "telephone_number": "606-437-0662",
            "fax_number": "606-437-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN KENTUCKY KIDNEY CARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "KASSAW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "606-437-0662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "TP610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1861453409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Economy Drug Company Inc

• Nephrology Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.