Healthcare Provider Details

I. General information

NPI: 1023535796
Provider Name (Legal Business Name): CENTRAL KY URGENT CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 KEYSTONE DR
RICHMOND KY
40475-7988
US

IV. Provider business mailing address

103 KEYSTONE DR
RICHMOND KY
40475-7988
US

V. Phone/Fax

Practice location:
  • Phone: 513-449-9099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BIJAYA GHIMIRE
Title or Position: PRESIDENT
Credential: MD
Phone: 606-813-1828