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LICKING VALLEY IM PED-CARLISLE
NPI 1871626820
Internal Medicine in Carlisle, KY

Active since March 13, 2007
254 E MAIN ST, CARLISLE, KY 40311(859) 289-6311(859) 289-3366 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Licking Valley Im Ped-carlisle NPPES

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

LICKING VALLEY IM PED-CARLISLE (NPI 1871626820) is a healthcare organization registered as an internal medicine in Carlisle, Kentucky and active in the NPI registry since March 2007. The organization lists Donna Martin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871626820
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLICKING VALLEY INTERNAL MEDICINE & PEDIATRICS PSC
Location Address254 E MAIN STCarlisle, KY 40311-1156
Mailing Address1210 Ky Highway 36e, Suite 2aCynthiana, KY 41031 · (859) 234-9611
Phone(859) 289-6311
Fax(859) 289-3366
Organization SubpartYesParent: Licking Valley Internal Medicine & Pediatrics, Psc
Authorized OfficialDonna MartinOffice Manager · (859) 234-9611
Enumeration DateMarch 13, 2007
Last NPPES UpdateJanuary 3, 2008
✔ NPI 1871626820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA783 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
254 E MAIN ST, Carlisle, KY 40311
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Other Names 1

Other NameLicking Valley Im Ped-carlisle

Other Identifiers 2

Medicaid65934341KY
Medicare PIN6735KY

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 2

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

HARRISON MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
254 E MAIN ST
CARLISLE, KY 40311
Nicholas County (859) 289-6311
ADRIENNE LETCHER-SMITH APRN, FNP-C
Nurse Practitioner (Family)
254 E MAIN ST
CARLISLE, KY 40311
Nicholas County (859) 289-6311

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 Licking Valley Internal Medicine & Pediatrics Psc's NPI number?

The NPI number for Licking Valley Internal Medicine & Pediatrics Psc is 1871626820. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is also known as Licking Valley Im Ped-Carlisle.

Where is Licking Valley Internal Medicine & Pediatrics Psc located?

Licking Valley Internal Medicine & Pediatrics Psc is located at 254 E Main St, Carlisle, KY 40311. The listed phone number is (859) 289-6311.

What is Licking Valley Internal Medicine & Pediatrics Psc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Licking Valley Internal Medicine & Pediatrics Psc was last updated on January 3, 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.