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EAST KENTUCKY MEDICAL GROUP PSC
NPI 1417123647
Nurse Practitioner - Family in Pikeville, KY

Active since May 07, 2008
50 WEDDINGTON BRANCH RD, SUITE B, PIKEVILLE, KY 41501(606) 432-2172 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Kentucky Medical Group Psc NPPES

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

EAST KENTUCKY MEDICAL GROUP PSC (NPI 1417123647) is a healthcare organization registered as a family in Pikeville, Kentucky and active in the NPI registry since May 2008. The organization lists Lela C Maynard, President, as its authorized official.

NPPES Registry Identity

NPI1417123647
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEAST KENTUCKY MEDICAL GROUP PSC
Location Address50 WEDDINGTON BRANCH RD, SUITE BPikeville, KY 41501-3296
Mailing Address50 Weddington Branch Rd, Suite BPikeville, KY 41501-3296 · (606) 432-2172 · Fax (606) 433-0143
Phone(606) 432-2172
Organization SubpartNo
Authorized OfficialLela C MaynardPresident · (606) 432-2172
Enumeration DateMay 7, 2008
✔ NPI 1417123647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
50 WEDDINGTON BRANCH RD, Pikeville, KY 41501
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Other Identifiers 3

Medicare PINCEO360KY
Medicaid78904711KY
Medicare PIN3722KY

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

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.

DR. CRYSTAL KAY COMPTON D.O.
Internal Medicine
50 WEDDINGTON BRANCH RD, SUITE B
PIKEVILLE, KY 41501
Pike County (606) 432-2172
EAST KENTUCKY MEDICAL GROUP, PSC
Family Medicine
50 WEDDINGTON BRANCH RD, SUITE B
PIKEVILLE, KY 41501
Pike County (606) 432-2172
TEAL GROUP PLLC
Family Medicine (Addiction Medicine)
50 WEDDINGTON BRANCH RD
PIKEVILLE, KY 41501
Pike County (606) 437-2400

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 East Kentucky Medical Group Psc's NPI number?

The NPI number for East Kentucky Medical Group Psc is 1417123647. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is East Kentucky Medical Group Psc located?

East Kentucky Medical Group Psc is located at 50 Weddington Branch Rd Suite B, Pikeville, KY 41501. The listed phone number is (606) 432-2172.

What is East Kentucky Medical Group Psc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for East Kentucky Medical Group Psc was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.