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KENTUCKY MEDICAL SPA
NPI 1326440637
Clinic/Center - Primary Care in Paintsville, KY

Active since September 17, 2014
636 JEFFERSON AVE, PAINTSVILLE, KY 41240(606) 788-1035(606) 788-1045 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kentucky Medical Spa NPPES

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

KENTUCKY MEDICAL SPA (NPI 1326440637) is a healthcare organization registered as a primary care in Paintsville, Kentucky and active in the NPI registry since September 2014. The organization lists Jerry Brackett, President, as its authorized official.

NPPES Registry Identity

NPI1326440637
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKENTUCKY MEDICAL SPA
Location Address636 JEFFERSON AVEPaintsville, KY 41240-1349
Mailing AddressPo Box 2710Paintsville, KY 41240-6710 · (606) 788-1035 · Fax (606) 788-1045
Phone(606) 788-1035
Fax(606) 788-1045
Organization SubpartNo
Authorized OfficialJerry BrackettPresident · (606) 788-1035
Enumeration DateSeptember 17, 2014
✔ NPI 1326440637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in KY · 14390
636 JEFFERSON AVE, Paintsville, KY 41240
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAINTSVILLE PRIMARY CARE AND SPA
Clinic/Center (Urgent Care)
636 JEFFERSON AVE
PAINTSVILLE, KY 41240
Johnson County (606) 788-1035

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 Kentucky Medical Spa's NPI number?

The NPI number for Kentucky Medical Spa is 1326440637. It was assigned to this organization in the NPPES registry on September 17, 2014.

Where is Kentucky Medical Spa located?

Kentucky Medical Spa is located at 636 Jefferson Ave, Paintsville, KY 41240. The listed phone number is (606) 788-1035.

What is Kentucky Medical Spa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Kentucky Medical Spa was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.