Healthcare Provider Details

I. General information

NPI: 1508560764
Provider Name (Legal Business Name): KASEY A ISAACS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 CONCRETE RD
CARLISLE KY
40311-9392
US

IV. Provider business mailing address

236 W MAIN ST
MOUNT STERLING KY
40353-1348
US

V. Phone/Fax

Practice location:
  • Phone: 859-405-4024
  • Fax: 859-274-4459
Mailing address:
  • Phone: 859-404-7686
  • Fax: 859-274-4459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number61796
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: