# INTERVENTIONAL REHABILITATION OF KENTUCKY, P.S.C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1275549842
- **Authorized official:** DR. RICKY STANLEY COLLIS MD (OWNER)
- **Authorized official phone:** (502) 589-4765

## Contact information

- **Practice address:** 315 E BROADWAY, SUITE 250, LOUISVILLE, KY 40202-3700
- **Practice address phone:** (502) 589-4765
- **Practice address fax:** (502) 589-4799
- **Mailing address:** 315 E BROADWAY, SUITE 250, LOUISVILLE, KY 40202-3700
- **Mailing address phone:** (502) 589-4765
- **Mailing address fax:** (502) 589-4799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 07/28/2015