Central Kentucky Recovery Management, NPI 1619339736
Addiction Medicine (Family Medicine) Physician in Cynthiana, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1619339736 |
| NPI Entity Type | Organization |
| Provider Name |
Central Kentucky Recovery Management
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1094 Us Highway 27 S Ste A, Cynthiana, KY, US |
| Provider Mailing Address | 1094 Us Highway 27 S Ste A, Cynthiana, KY, US, 410317078 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Tracy S Fryman |
| Official Position | OWNER |
| Phone | 859-569-3145 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Addiction Medicine (Family Medicine) Physician |
| Classification | |
| Group | |
| Description | A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 810849 | KY | AODE LICENSE | 01 |
| 7100435380 | KY | MEDICAID | 05 |
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