# KENTUCKY PAIN PHYSICIANS, PSC

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

## Provider details

- **NPI number:** 1982657524
- **Authorized official:** DR. GAY RICHARDSON M.D. (CMO)
- **Authorized official phone:** (770) 850-8464

## Contact information

- **Practice address:** 286 US HIGHWAY 23 N, PRESTONSBURG, KY 41653-8732
- **Practice address phone:** (606) 874-0032
- **Practice address fax:** (606) 874-0064
- **Mailing address:** 286 US HIGHWAY 23 N, PRESTONSBURG, KY 41653-8732
- **Mailing address phone:** (606) 874-0032
- **Mailing address fax:** (606) 874-0064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | KY | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | KY | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | KY | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LX0106X | Occupational Health Nurse Practitioner | — | NULL | — |
| 363LX0106X | Occupational Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 07/11/2016