Active NPI
Dr. Kristy Kilcoyne LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paducah, KY
National Provider Identifier
1932362688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 1493
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Augusta, GA
- NPI 1548460124
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.