# PAIN MANAGEMENT KENTUCKY PSC

> 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:** 1336230820
- **Authorized official:** DR. KUNNATHU P. GEEVARGHESE M.D (M.D.)
- **Authorized official phone:** (502) 366-7317

## Contact information

- **Practice address:** 4402 CHURCHMAN AVE, SUITE 409, LOUISVILLE, KY 40215-1190
- **Practice address phone:** (502) 366-7318
- **Mailing address:** 4402 CHURCHMAN AVE, SUITE 409, LOUISVILLE, KY 40215-1190
- **Mailing address phone:** (502) 366-7318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 05/06/2015