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KUTTAWA CLINIC, PLLC
NPI 1184034951
Family Medicine in Kuttawa, KY

Active since May 02, 2014CLIA 18D2089718 · Microscopy
91 CEDAR STREET, KUTTAWA, KY 42055(270) 853-8685 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kuttawa Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KUTTAWA CLINIC, PLLC (NPI 1184034951) is a healthcare organization registered as a family medicine in Kuttawa, Kentucky and active in the NPI registry since May 2014. The organization holds a CLIA Microscopy certificate valid through January 6, 2027 and lists Debra Wilder, Member, as its authorized official.

NPPES Registry Identity

NPI1184034951
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKUTTAWA CLINIC, PLLC
Location Address91 CEDAR STREETKuttawa, KY 42055
Mailing AddressPo Box 370Kuttawa, KY 42055-0370
Phone(270) 853-8685
Organization SubpartNo
Authorized OfficialDebra WilderMember · (270) 853-8685
Enumeration DateMay 2, 2014
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1184034951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3009151 (KY)
91 CEDAR STREET, Kuttawa, KY 42055
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D2089718

Kuttawa Clinic, PLLC · Kuttawa, KY
Active · expires Jan 6, 2027
CLIA Number18D2089718
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorDebra L. Wilder
Laboratory Phone(270) 388-7380
Laboratory LocationKuttawa Clinic, PLLC91 Cedar Street, Kuttawa, KY 42055
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kuttawa Clinic, PLLC's NPI number?

The NPI number for Kuttawa Clinic, PLLC is 1184034951. It was assigned to this organization in the NPPES registry on May 2, 2014.

Where is Kuttawa Clinic, PLLC located?

Kuttawa Clinic, PLLC is located at 91 Cedar Street, Kuttawa, KY 42055. The listed phone number is (270) 853-8685.

What is Kuttawa Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kuttawa Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D2089718) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kuttawa Clinic, PLLC was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.