Organization
NORTHERN KENTUCKY CENTER FOR PAIN RELIEF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI SEBASTIAN (ADMINISTRATOR)
(859) 292-0123
Entity
Organization
Contact information
Practice address
8780 US HIGHWAY 42, FLORENCE, KY 41042-6936
(859) 292-0123
(859) 292-0131
Mailing address
8780 US HWY 42, SUITE A, FLORENCE, KY 41042
(859) 292-0123
(859) 292-0131
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100173410
—
KY
Enumeration date
11/04/2009
Last updated
02/07/2022
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