Organization · Type 2 NPI
Integrative Health Centers of Kentucky LLC
Addiction Medicine (Family Medicine) Physician · Mc Kenzie, TN
NPI number
1760017180
Active
Practice location
1894 Cedar St
Mc Kenzie, TN 38201-2206
Mailing address
1105 16th Ave S Ste C
Nashville, TN 37212-2327
Other practice locations
- 803A Country Club Ln, Hopkinsville, KY 42240-1370 · (615) 521-9097
- 1105 16th Ave S Ste C, Nashville, TN 37212-2327 · (615) 406-7036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
4 other providers at this address
- Daniel D Sumrok, MDFamily Medicine Physician Mc Kenzie, TN NPI 1902966153
- McKenzie Medical Center PCRural Health Clinic/Center Mc Kenzie, TN NPI 1023611241
- Daniel David Sumrok, MDAddiction Medicine (Psychiatry & Neurology) Physician Mc Kenzie, TN NPI 1669461679
- Victoria Brooke Ivy, FNP-CFamily Nurse Practitioner Mc Kenzie, TN NPI 1235918947
About NPI 1760017180
Integrative Health Centers of Kentucky LLC's National Provider Identifier is 1760017180, issued on Mar 5, 2020. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Mc Kenzie, TN. The record was last updated on Mar 10, 2020.