Organization · Type 2 NPI

Premise Health of Kentucky Medical PSC

Multi-Specialty Clinic/Center · Covington, KY

NPI number 1942973276 Active

Practice location

1840 Simon Kenton Way Ste 3200
Covington, KY 41011-3693

Fax (407) 366-6663

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1942973276

Premise Health of Kentucky Medical PSC's National Provider Identifier is 1942973276, issued on Aug 2, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Covington, KY. The record was last updated on Feb 4, 2026.