MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC
NPI 1265294003
Clinic/Center - Rural Health in Richmond, KY

Active since January 26, 2024CLIA 18D2300151 · Waiver
1011 BRANDY LN STE A, RICHMOND, KY 40475(859) 286-7555(859) 661-4925 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 10, 2025, Jun 26, 2024, Apr 16, 2024 and 1 more (4 updates tracked since 2024).

About Means Adult Primary Care Clinic Of Kentucky Pllc NPPES

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

MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC (NPI 1265294003) is a healthcare organization registered as a rural health in Richmond, Kentucky and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Rezkalla Butros, Owner, as its authorized official.

NPPES Registry Identity

NPI1265294003
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC
Location Address1011 BRANDY LN STE ARichmond, KY 40475-8441
Mailing Address148 Skyview DrMount Sterling, KY 40353-1496 · (859) 499-0717 · Fax (859) 499-0926
Fax(859) 661-4925
Organization SubpartNo
Authorized OfficialRezkalla ButrosOwner · (859) 499-0717
Enumeration DateJanuary 26, 2024
Last NPPES UpdateJanuary 10, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1265294003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1011 BRANDY LN STE A, Richmond, KY 40475

Other Identifiers 5

Medicaid7100960720KY
Medicaid7100963540KY
Medicaid7100981520KY
Medicaid7100961550KY
Medicaid7100966960KY

Accepted Insurance

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 of Waiver 18D2300151

Means Adult Primary Care Clinic Of Kentucky PLLC · Richmond, KY
Active · expires Mar 4, 2028
CLIA Number18D2300151
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorDr. Rezkalla Butros
Laboratory Phone(859) 286-7555
Laboratory LocationMeans Adult Primary Care Clinic Of Kentucky PLLC1011 Brandy Lane Suite A, Richmond, KY 40475
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Means Adult Primary Care Clinic Of Kentucky PLLC's NPI number?

The NPI number for Means Adult Primary Care Clinic Of Kentucky PLLC is 1265294003. It was assigned to this organization in the NPPES registry on January 26, 2024.

Where is Means Adult Primary Care Clinic Of Kentucky PLLC located?

Means Adult Primary Care Clinic Of Kentucky PLLC is located at 1011 Brandy Ln Ste A, Richmond, KY 40475. The listed phone number is (859) 286-7555.

What is Means Adult Primary Care Clinic Of Kentucky PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Means Adult Primary Care Clinic Of Kentucky PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2300151) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Means Adult Primary Care Clinic Of Kentucky PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Means Adult Primary Care Clinic Of Kentucky PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Means Adult Primary Care Clinic Of Kentucky PLLC was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.