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: July 19, 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
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

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


The following 3 providers are registered at the same or a nearby location.

Family Medicine
50 WEDDINGTON BRANCH RD, SUITE B
PIKEVILLE, KY 41501
Internal Medicine
50 WEDDINGTON BRANCH RD, SUITE B
PIKEVILLE, KY 41501
Family Medicine (Addiction Medicine)
50 WEDDINGTON BRANCH RD
PIKEVILLE, KY 41501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417123647, enumerated as an "organization" on May 07, 2008.

The provider is located at 50 WEDDINGTON BRANCH RD SUITE B PIKEVILLE, KY 41501 and the phone number is (606) 432-2172.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.