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EDDYVILLE FAMILY MEDICAL
NPI 1639346844
Nurse Practitioner - Family in Eddyville, KY

Active since May 15, 2008
209 W MAIN ST, EDDYVILLE, KY 42038(270) 388-0620(270) 388-0604 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eddyville Family Medical NPPES

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

EDDYVILLE FAMILY MEDICAL (NPI 1639346844) is a healthcare organization registered as a family in Eddyville, Kentucky and active in the NPI registry since May 2008. The organization lists Misha R Glendening, Owner, as its authorized official.

NPPES Registry Identity

NPI1639346844
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEDDYVILLE FAMILY MEDICAL
Location Address209 W MAIN STEddyville, KY 42038-7752
Mailing Address209 W Main StEddyville, KY 42038-7752 · (270) 388-0620 · Fax (270) 388-0604
Phone(270) 388-0620
Fax(270) 388-0604
Organization SubpartNo
Authorized OfficialMisha R GlendeningOwner · (270) 388-0620
Enumeration DateMay 15, 2008
Last NPPES UpdateMay 19, 2008
✔ NPI 1639346844 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
License✔ Licensed in KY · 1910P
209 W MAIN ST, Eddyville, KY 42038
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Other Identifiers 1

Medicaid78901758KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

LAURA KAY WOOD APRN
Nurse Practitioner
209 W MAIN ST
EDDYVILLE, KY 42038
Lyon County (270) 388-0620
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
Clinic/Center (Rural Health)
209 W MAIN ST
EDDYVILLE, KY 42038
Lyon County (270) 388-0620
MRS. TERESA RAE WHITE ARNP, FNP-BC
Nurse Practitioner (Family)
209 W MAIN ST
EDDYVILLE, KY 42038
Lyon County (270) 388-0620

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 Eddyville Family Medical's NPI number?

The NPI number for Eddyville Family Medical is 1639346844. It was assigned to this organization in the NPPES registry on May 15, 2008.

Where is Eddyville Family Medical located?

Eddyville Family Medical is located at 209 W Main St, Eddyville, KY 42038. The listed phone number is (270) 388-0620.

What is Eddyville Family Medical'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 Eddyville Family Medical was last updated on May 19, 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.