Organization
CENTRAL KENTUCKY RECOVERY MANAGEMENT
Active
Other names
New Life Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY S FRYMAN (OWNER)
(859) 569-3145
Entity
Organization
Contact information
Practice address
1094 US HIGHWAY 27 S STE A, CYNTHIANA, KY 41031-7078
(859) 569-3145
(859) 569-3176
Mailing address
1094 US HIGHWAY 27 S STE A, CYNTHIANA, KY 41031-7078
(859) 569-3145
(859) 569-3176
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100435380
—
KY
01
—
810849
AODE LICENSE
KY
Enumeration date
03/28/2016
Last updated
06/02/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up