SOUTHEAST KENTUCKY CLINIC
NPI 1982703617
Specialist in Somerset, KY

Q: What is Southeast Kentucky Clinic's NPI number?

The NPI number for Southeast Kentucky Clinic is 1982703617. It was assigned to this organization in the NPPES registry on September 21, 2006.

Q: What is Southeast Kentucky Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since September 21, 2006

402 BOGLE ST, SUITE 2, SOMERSET, KY 42503(606) 679-1189 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southeast Kentucky Clinic NPPES

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

SOUTHEAST KENTUCKY CLINIC (NPI 1982703617) is a healthcare organization registered as a specialist in Somerset, Kentucky and active in the NPI registry since September 2006. The organization lists Yasser Nadim, President, as its authorized official.

NPPES Registry Identity

NPI1982703617

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHEAST KENTUCKY CLINIC

Location Address402 BOGLE ST, SUITE 2Somerset, KY 42503-2870

Mailing Address402 Bogle St, Suite 2Somerset, KY 42503-2870 · (606) 679-1189

Phone(606) 679-1189

Organization SubpartNo

Authorized OfficialYasser NadimPresident · (606) 679-1189

Enumeration DateSeptember 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1982703617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in KY · 34018

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

402 BOGLE ST, Somerset, KY 42503

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Other Identifiers 1

Medicaid65933681KY

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 10

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

EDWARD ALLAN GRIMBALL MD

Internal Medicine

402 BOGLE ST, STE 3
SOMERSET, KY 42503

Pulaski County (606) 451-9953

SOMERSET CARDIOLOGY

Specialist

402 BOGLE ST, SUITE 2
SOMERSET, KY 42503

Pulaski County (606) 679-1189

EADENS-GRIMBALL INTERNAL MEDICINE ASSOCIATES

Internal Medicine

402 BOGLE ST, STE 3
SOMERSET, KY 42503

Pulaski County (606) 451-9953

DEBRA J EADENS MD

Internal Medicine

402 BOGLE ST, STE 3
SOMERSET, KY 42503

Pulaski County (606) 451-9953

WOMENS CARE OF SOMERSET CORP

Specialist

402 BOGLE ST, SUITE 2
SOMERSET, KY 42503

Pulaski County (606) 451-3145

DR. TARA R HORN M.D.

Obstetrics & Gynecology

402 BOGLE ST, SUITE 2
SOMERSET, KY 42503

Pulaski County (606) 451-3145

MR. KEVIN THOMAS KAVANAGH MD

Otolaryngology

402 BOGLE ST, STE 310
SOMERSET, KY 42503

Pulaski County (606) 679-7426

WOMENS CARE OF SOMERSET CORP

Obstetrics & Gynecology (Gynecology)

402 BOGLE ST, SUITE 2
SOMERSET, KY 42503

Pulaski County (606) 451-3145

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 Southeast Kentucky Clinic's NPI number?

The NPI number for Southeast Kentucky Clinic is 1982703617. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Southeast Kentucky Clinic located?

Southeast Kentucky Clinic is located at 402 Bogle St Suite 2, Somerset, KY 42503. The listed phone number is (606) 679-1189.

What is Southeast Kentucky Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southeast Kentucky Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.