Healthcare Provider Details

I. General information

NPI: 1720587447
Provider Name (Legal Business Name): SOUND PHYSICIANS EMERGENCY MEDICINE OF KENTUCKY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2018
Last Update Date: 10/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SAINT CHRISTOPHER DR
ASHLAND KY
41101-7034
US

IV. Provider business mailing address

3303 S MERIDIAN AVE
OKLAHOMA CITY OK
73119-1026
US

V. Phone/Fax

Practice location:
  • Phone: 606-833-3333
  • Fax:
Mailing address:
  • Phone: 800-962-3303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN M MCCARTY
Title or Position: GENERAL COUNSEL & SECRETARY
Credential:
Phone: 855-768-6363