Nky Med, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

NKY MED, LLC

Practice address

1717 Madison Ave
Covington, KY 41011-3330

Phone

(859) 613-3722

NPI assigned

May 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Gary David Gavornik

Title

Director of Development

Phone

(908) 619-0346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1962847475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113330",
            "telephone_number": "859-613-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113330",
            "telephone_number": "859-613-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKY MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "GAVORNIK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF DEVELOPMENT",
        "authorized_official_telephone_number": "908-619-0346",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Shields New, PT
• Krista Newland
• Kimberly D Newman, LPCA
• Ashlyn Nichols
• Nky Med, LLC
• Madison Noble
• Adrienne Cathleen Nolan-Smith, RN
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Independent District Health Department

• Methadone Clinic in Covington, KY
• Providers in Covington, KY by specialty
• Methadone Clinic in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.