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NPI Code Detail

MEDICARE: KENTUCKY EM-I MEDICAL SERVICES PSC

MEDICARE: KENTUCKY EM-I MEDICAL SERVICES PSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2363A00000XPhysician Assistant
3207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1740512615
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENTUCKY EM-I MEDICAL SERVICES PSC
Provider Business Mailing Address
First Line : PO BOX 781319
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-1319
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Provider Business Practice Location Address
First Line : 803 POPLAR ST
Second Line :
City : MURRAY
State : KY
Zip : 42071-2432
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : CHRISTOPHER KENNEDY
Credential :
Telephone Number : 207-807-9009
Provider Enumeration Date : 02/03/2010
Last Update Date : 05/28/2026

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Directions to “KENTUCKY EM-I MEDICAL SERVICES PSC ” Practice Location

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