Organization
EASTERN KENTUCKY PAIN MANAGEMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD HAMBLEN (MEMBER)
(859) 746-2444
Entity
Organization
Contact information
Practice address
1694 NORTHGATE DR, RICHMOND, KY 40475-1066
(859) 626-7755
(859) 626-7766
Mailing address
1694 NORTHGATE DR, RICHMOND, KY 40475-1066
(859) 626-7755
(859) 626-7766
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100095660
—
KY
Enumeration date
10/21/2009
Last updated
05/26/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us