Organization Active NPI

Western Kentucky Pain Management Center

  • Interventional Pain Medicine Physician
  • Owensboro, KY
National Provider Identifier
1912207135
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
WESTERN KENTUCKY PAIN MANAGEMENT CENTER
Practice address
3515 Frederica St
Owensboro, KY 42301-6902
Phone
(270) 683-4073
Fax
(270) 683-4075
NPI assigned
Oct 22, 2010
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Rachelle Franks
Title
Manager
Phone
(859) 746-2444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

3515 Frederica St
Owensboro, KY 42301-6902

Mailing address

3515 Frederica St
Owensboro, KY 42301-6902
Phone (270) 683-4073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1912207135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016902",
            "telephone_number": "270-683-4073",
            "fax_number": "270-683-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016902",
            "telephone_number": "270-683-4073",
            "fax_number": "270-683-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "FRANKS",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "859-746-2444"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.