Organization · Type 2 NPI

Tri-State Healing Initiative LLC

Family Medicine Physician · Russell, KY

NPI number 1841984036 Active

Practice location

1619 Diederich Blvd Ste D1
Russell, KY 41169-1778

Mailing address

17 Lackawanna Pl Apt 318
Bloomfield, NJ 07003-2954

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1841984036

Tri-State Healing Initiative LLC's National Provider Identifier is 1841984036, issued on Jun 8, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Russell, KY. The record was last updated on Jun 17, 2025.