SOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC – NPI #1821392515
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC is a provider located in RUSSELL SPRINGS, KY. NPPES has assigned the NPI number 1821392515 to SOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC on January 10, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on Feb 14, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC below.

NPI Profile for
SOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC

NPI Number
1821392515
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC
Primary location
72 JOE T. PETTEY DR
RUSSELL SPRINGS, KY 42642
Phone: (270) 866-4357 Fax:
Mailing address
PO BOX 1383
RUSSELL SPRINGS, KY 42642-1383
Phone: Fax:
Organization Subpart
No
Authorized Official
ANGELA CUNDIFF-ROY
PRESIDENT
Phone: (270) 866-4357
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
363LA2200X
- Nurse Practitioner / Adult Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.