NPIMap

Organization Active NPI

Primehealth of Kentucky LLC

  • Podiatrist
  • Louisville, KY
National Provider Identifier
1922551308
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PRIMEHEALTH OF KENTUCKY LLC
Practice address
10200 Forest Green Blvd Ste 112
Louisville, KY 40223-5167
Phone
(844) 882-3127
NPI assigned
Aug 2, 2016
Last updated
May 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Kenneth King
Title
Owner
Phone
(844) 882-3127

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
Optometrist 152W00000X NU
Podiatrist 213E00000X NU Primary
Audiologist 231H00000X NU

Addresses

Primary practice location

10200 Forest Green Blvd Ste 112
Louisville, KY 40223-5167

Mailing address

2100 E Lake Cook Rd Ste 1000
Buffalo Grove, IL 60089-1999
Phone (844) 882-3127

National Provider Directory

National Provider Directory

Locations

116 S Commonwealth Ave
Corbin, KY 40701
Phone (606) 258-2500

9260 Stonestreet Rd
Louisville, KY 40272
Phone (502) 935-3300

509 N Hayden Ave
Salem, KY 42078
Phone (270) 988-4572

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1922551308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E LAKE COOK RD STE 1000",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891999",
            "telephone_number": "844-882-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 FOREST GREEN BLVD STE 112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235167",
            "telephone_number": "844-882-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEHEALTH OF KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-882-3127"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.