KENTUCKY PAIN MANAGEMENT SERVICES
NPI 1376692657
Clinic/Center - Pain in Hazard, KY

Active since January 09, 2007CLIA 18D1002441 · Certificate of Compliance
311 ROY CAMPBELL DRIVE, HAZARD, KY 41701(606) 487-0776(606) 487-0777 Get Directions Write a Review

NPPES record last updated: August 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kentucky Pain Management Services NPPES

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

KENTUCKY PAIN MANAGEMENT SERVICES (NPI 1376692657) is a healthcare organization registered as a pain in Hazard, Kentucky and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 28, 2028 and lists Phillip R Mullins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376692657
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameKENTUCKY PAIN MANAGEMENT SERVICES
Location Address311 ROY CAMPBELL DRIVEHazard, KY 41701
Mailing AddressPo Box 1297Hazard, KY 41702 · (606) 487-0776 · Fax (606) 487-0777
Fax(606) 487-0777
Organization SubpartNo
Authorized OfficialPhillip R MullinsCeo · (606) 487-0776
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 15, 2015
NPI 1376692657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License Licensed in KY · 29445
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
311 ROY CAMPBELL DRIVE, Hazard, KY 41701

Other Identifiers 4

Medicare PIN00216KY
Other29445KY · State License #
Medicaid7100002910KY
Other000000509781KY · Anthem Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Compliance 18D1002441

Kentucky Pain Management Services · Hazard, KY
Active · expires Apr 28, 2028
CLIA Number18D1002441
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorDr. Kryder Van Buskirk
Laboratory Phone(606) 487-0776
Laboratory LocationKentucky Pain Management Services311 Roy Campbell Drive, Hazard, KY 41701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
311 ROY CAMPBELL DRIVE
HAZARD, KY 41701
Nurse Practitioner (Family)
311 ROY CAMPBELL DRIVE
HAZARD, KY 41701
Pain Medicine (Pain Medicine)
311 ROY CAMPBELL DRIVE
HAZARD, KY 41701

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 Pain Management Services's NPI number?

The NPI number for Kentucky Pain Management Services is 1376692657. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Kentucky Pain Management Services located?

Kentucky Pain Management Services is located at 311 Roy Campbell Drive, Hazard, KY 41701. The listed phone number is (606) 487-0776.

What is Kentucky Pain Management Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Kentucky Pain Management Services hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D1002441) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kentucky Pain Management Services accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Kentucky Pain Management Services 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 Kentucky Pain Management Services was last updated on August 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.