Organization
VITALITY PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BOSOMWORTH MD (OWNER)
(859) 523-1776
Entity
Organization
Contact information
Practice address
2700 OLD ROSEBUD RD STE 330, LEXINGTON, KY 40509-8630
(859) 523-1776
(859) 788-7150
Mailing address
2700 OLD ROSEBUD RD STE 330, LEXINGTON, KY 40509-8630
(859) 523-1776
(859) 788-7150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
09/28/2023
Last updated
03/10/2026
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