Organization Active NPI

Dr. Kristy Kilcoyne LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paducah, KY
National Provider Identifier
1932362688
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1493 Issued in KY
Legal business name
DR. KRISTY KILCOYNE LLC
Practice address
1700 Kentucky Ave
Suite 106
Paducah, KY 42003-7705
Phone
(270) 442-0834
Fax
(270) 442-0826
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Kristy Kilcoyne, PSY.D.
Title
Owner
Phone
(270) 442-0834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1493 KY Primary

Addresses

Primary practice location

1700 Kentucky Ave
Suite 106
Paducah, KY 42003-7705

Mailing address

1700 Kentucky Ave
Suite 106
Paducah, KY 42003-7705
Phone (270) 442-0834

National Provider Directory

National Provider Directory

Locations

1700 Kentucky Ave
Ste 106
Paducah, KY 42003
Phone (270) 442-0834

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1932362688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 KENTUCKY AVE",
            "address_2": "SUITE 106",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037705",
            "telephone_number": "270-442-0834",
            "fax_number": "270-442-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 KENTUCKY AVE",
            "address_2": "SUITE 106",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037705",
            "telephone_number": "270-442-0834",
            "fax_number": "270-442-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KRISTY KILCOYNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "KILCOYNE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-442-0834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KY",
            "license": "1493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.