Organization · Type 2 NPI

Tates Creek Surgery Center LLC

Interventional Pain Medicine Physician · Lexington, KY

NPI number 1619805090 Active

Practice location

4071 Tates Creek Centre Dr Ste 105
Lexington, KY 40517-3051

Fax (859) 234-5666

Specialties and licenses

TaxonomyCodeLicense
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1619805090

Tates Creek Surgery Center LLC's National Provider Identifier is 1619805090, issued on May 13, 2026. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Lexington, KY. The record was last updated on Jul 13, 2026.