# COMMONWEALTH PAIN SPECIALISTS, PLLC

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

## Provider details

- **NPI number:** 1700161981
- **Authorized official:** TAMIA FISHER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (812) 962-7894

## Contact information

- **Practice address:** 279 KINGS DAUGHTERS DR, SUITE 100, FRANKFORT, KY 40601
- **Practice address phone:** (502) 352-2530
- **Practice address fax:** (502) 352-2534
- **Mailing address:** 7145 E VIRGINIA ST STE 2000, EVANSVILLE, IN 47715-9147
- **Mailing address phone:** (812) 962-7890
- **Mailing address fax:** (812) 476-6162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 10/07/2019