Addixxion Recovery of Kentucky, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

ADDIXXION RECOVERY OF KENTUCKY, LLC

Practice address

106 Belinda Blvd
Danville, KY 40422-3217

Phone

(859) 209-2320

NPI assigned

Oct 30, 2014

Last updated

Oct 30, 2014By 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

Mrs. Ginger Jackson

Title

Marketing

Phone

(859) 333-5125

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1952706111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 S 4TH ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222053",
            "telephone_number": "859-209-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BELINDA BLVD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404223217",
            "telephone_number": "859-209-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDIXXION RECOVERY OF KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "MARKETING",
        "authorized_official_telephone_number": "859-333-5125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Family Medicine) Physician in Danville, KY
• Providers in Danville, KY by specialty
• Addiction Medicine (Family Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.