# CAPITOL PAIN OF KENTUCKY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053807206
- **Authorized official:** PAT HARRELL (REVENUE CYCLE)
- **Authorized official phone:** (803) 229-5366

## Contact information

- **Practice address:** 3841 RUCKRIEGEL PKWY STE 104, LOUISVILLE, KY 40299
- **Practice address phone:** (512) 467-7246
- **Mailing address:** 7951 SHOAL CREEK BLVD, AUSTIN, TX 78757-7534
- **Mailing address phone:** (512) 467-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2018
- **Last updated:** 07/10/2018