Organization
KENTUCKY EM-I MEDICAL SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KENNEDY (AUTHORIZED OFFICIAL)
(207) 807-9009
Entity
Organization
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(954) 939-5000
Mailing address
PO BOX 80178, PHILADELPHIA, PA 19101-1178
(954) 939-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/09/2018
Last updated
08/07/2025
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