CENTRAL KENTUCKY INTERVENTIONAL PAIN CENTER, PLLC

DANVILLE, KY
NPI1407855935
Entity TypeOrganization
Authorized ContactKHURSHEED SIDDIQUI
Owner/Group President
859-236-0606
Organization Subpart ?No
Primary Taxonomy208VP0000X Pain Medicine Pain Medicine
Additional Taxonomies174400000X Specialist
(Licence: KY  28741)
207LP2900X Anesthesiology Pain Medicine
208VP0014X Pain Medicine Interventional Pain Medicine
Enumeration Date2005-07-18
Last Update Date2017-12-28
Business Address
CENTRAL KENTUCKY INTERVENTIONAL PAIN CENTER, PLLC
300 W BROADWAY ST
DANVILLE, KY 40422-1408
Phone number: 859-236-0606
Mailing Address
CENTRAL KENTUCKY INTERVENTIONAL PAIN CENTER, PLLC
PO BOX 7096
STOCKTON, CA 95267-0096
Phone number: 209-956-7725