Unknown Individual – Internal Medicine Physician, NPI 1659329340

Unknown Individual is a healthcare provider. based in Corbin, Kentucky. specializing in Internal Medicine Physician. They hold a License No. 33375 (KY). The NPI Number for Unknown Individual is 1659329340

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659329340
Phone
(606) 523-5402
Address
2867CUMBERLAND FALLS HWY SUITE B
Deactivation Date
18 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065235402
Graduation Year
1988 (38 years ago)
PAC ID
8022118686
Group Practice PAC ID
9234239898
Professional Enrollment ID
I20070711000644
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2867CUMBERLAND FALLS HWY SUITE B

    CORBIN, KY 407018949

    Phone: (606) 523-5402

    Fax: (606) 523-6517

    Type: Location

  • 2867, Cumberland Falls Highway, Corbin, Whitley County, Kentucky, 40701, United States

    CORBIN, KY 407018949

    Phone: (606) 523-5402

    Fax: (606) 523-6517

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40701)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKY17003Destruction of 2-14 skin growths3935
INTERNAL MEDICINEKY85610Blood test, clotting time10722

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234239898View full group profile
NameSpecialtyState
-KY

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1659329340.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Corbin, Kentucky. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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