Jackson Pain Management Clinic, PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

JACKSON PAIN MANAGEMENT CLINIC, PLLC

Practice address

327 Briarcliff LN
Danville, KY 40422-9789

Phone

(859) 583-2142

Fax

(859) 236-0261

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Robert Paul Knetsche, MD

Title

Director

Phone

(859) 583-3461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1962704908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BRIARCLIFF LN",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229789",
            "telephone_number": "859-583-2142",
            "fax_number": "859-236-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BRIARCLIFF LN",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229789",
            "telephone_number": "859-583-2142",
            "fax_number": "859-236-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PAIN MANAGEMENT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "KNETSCHE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-583-3461",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Danville, KY
• Providers in Danville, KY by specialty
• Pain Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.