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NKY MED, LLC
NPI 1962847475
Clinic/Center - Methadone in Covington, KY

Active since May 10, 2013
1717 MADISON AVE, COVINGTON, KY 41011(859) 613-3722 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nky Med, Llc NPPES

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

NKY MED, LLC (NPI 1962847475) is a healthcare organization registered as a methadone in Covington, Kentucky and active in the NPI registry since May 2013. The organization lists Gary David Gavornik, Director Of Development, as its authorized official.

NPPES Registry Identity

NPI1962847475
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameNKY MED, LLC
Location Address1717 MADISON AVECovington, KY 41011-3330
Mailing Address1717 Madison AveCovington, KY 41011-3330 · (859) 613-3722
Phone(859) 613-3722
Organization SubpartNo
Authorized OfficialGary David GavornikDirector Of Development · (908) 619-0346
Enumeration DateMay 10, 2013
✔ NPI 1962847475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
1717 MADISON AVE, Covington, KY 41011
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Other Providers at the Same Location NPPES 19

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

HELENA MOSS LPN
Licensed Practical Nurse
1717 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 360-0250
JAZLYN MORGAN BROWN
Counselor (Addiction (Substance Use Disorder))
1717 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 360-0254
ASHLYN NICHOLS
Counselor (Addiction (Substance Use Disorder))
1717 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 360-0250
KARISSA MUELLER
Counselor (Addiction (Substance Use Disorder))
1717 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 360-0254
MS. MICHELE KILGORE
Counselor (Addiction (Substance Use Disorder))
1717 MADISON AVE
COVINGTON, KY 41011
Kenton County (185) 936-0025
DOMINIQUE GREENE-COLEMAN
Case Manager/Care Coordinator
1717 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 360-0254
ALYSSA CHARIE BALL CSW, LCADC
Counselor (Addiction (Substance Use Disorder))
1717 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 360-0250
PHYLLIS CORNELIUS LPN
Licensed Practical Nurse
1717 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 360-0254

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 Nky Med, LLC's NPI number?

The NPI number for Nky Med, LLC is 1962847475. It was assigned to this organization in the NPPES registry on May 10, 2013.

Where is Nky Med, LLC located?

Nky Med, LLC is located at 1717 Madison Ave, Covington, KY 41011. The listed phone number is (859) 613-3722.

What is Nky Med, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Nky Med, LLC was last updated on May 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.