Kentuckyone Health Medical Group, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KENTUCKYONE HEALTH MEDICAL GROUP, INC.

Practice address

160 London Mountain View Dr
London, KY 40741-6601

Phone

(606) 864-0770

Fax

(606) 864-1461

NPI assigned

Mar 25, 2014

Last updated

Dec 12, 2017By 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

Ms. Carmel Jones

Title

Coo

Phone

(859) 313-1713

Specialties & licenses 1

Addresses

Other names 1

• KentuckyOne Health Medical Group - DME Other name

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1891112173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7844",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LONDON MOUNTAIN VIEW DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416601",
            "telephone_number": "606-864-0770",
            "fax_number": "606-864-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKYONE HEALTH MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "859-313-1713",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KentuckyOne Health Medical Group - DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kirbi Alexandria Kersey, NP-C
• Alam N Khan, MD
• Arif Khan, M.D.
• Carl Kidd Jr.
• Amber D Kilburn

• Durable Medical Equipment & Medical Supplies in London, KY
• Providers in London, 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 Dec 12, 2017; 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.