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BALANCED LIFE PRIMARY CARE, LLC
NPI 1639561806
Nurse Practitioner - Family in Owensboro, KY

Active since February 25, 2015
3240 MOUNT MORIAH AVE, OWENSBORO, KY 42303(270) 686-6168(270) 686-6140 Get Directions Write a Review

NPPES record last updated: February 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Balanced Life Primary Care, Llc NPPES

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

BALANCED LIFE PRIMARY CARE, LLC (NPI 1639561806) is a healthcare organization registered as a family in Owensboro, Kentucky and active in the NPI registry since February 2015. The organization lists Randall E King, Owner, as its authorized official.

NPPES Registry Identity

NPI1639561806
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBALANCED LIFE PRIMARY CARE, LLC
Location Address3240 MOUNT MORIAH AVEOwensboro, KY 42303-7805
Mailing Address3240 Mount Moriah AveOwensboro, KY 42303-7805 · (270) 686-6168 · Fax (270) 686-6140
Phone(270) 686-6168
Fax(270) 686-6140
Organization SubpartNo
Authorized OfficialRandall E KingOwner · (270) 686-6168
Enumeration DateFebruary 25, 2015
✔ NPI 1639561806 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
3240 MOUNT MORIAH AVE, Owensboro, KY 42303
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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.

MRS. MICHELLE DENISE COLE KCSA
Physician Assistant (Surgical)
3240 MOUNT MORIAH AVE
OWENSBORO, KY 42303
Daviess County (270) 686-6168
MS. REBECCA LYNN MURPHY KCSA
Physician Assistant (Surgical)
3240 MOUNT MORIAH AVE
OWENSBORO, KY 42303
Daviess County (270) 686-6168
DR. RICHARD C. GOOD M.D.
Obstetrics & Gynecology (Gynecology)
3240 MOUNT MORIAH AVE
OWENSBORO, KY 42303
Daviess County (270) 926-4449

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 Balanced Life Primary Care, LLC's NPI number?

The NPI number for Balanced Life Primary Care, LLC is 1639561806. It was assigned to this organization in the NPPES registry on February 25, 2015.

Where is Balanced Life Primary Care, LLC located?

Balanced Life Primary Care, LLC is located at 3240 Mount Moriah Ave, Owensboro, KY 42303. The listed phone number is (270) 686-6168.

What is Balanced Life Primary Care, LLC'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 Balanced Life Primary Care, LLC was last updated on February 25, 2015. 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.