Healthcare Provider Details

I. General information

NPI: 1649918186
Provider Name (Legal Business Name): FIRST CHOICE WELLNESS CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PROSPEROUS PL STE 170
LEXINGTON KY
40509-1882
US

IV. Provider business mailing address

PO BOX 931983
ATLANTA GA
31193-1983
US

V. Phone/Fax

Practice location:
  • Phone: 866-665-3244
  • Fax: 844-461-3244
Mailing address:
  • Phone: 866-665-3244
  • Fax: 844-461-3244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EDWARD PAUL KRAMM
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 913-515-6719