Unknown Individual – Psychiatry Physician, NPI 1710966965

Unknown Individual is a healthcare provider. based in Franklin, Kentucky. specializing in Psychiatry Physician. They hold a License No. KY30277 (KY). The NPI Number for Unknown Individual is 1710966965

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1710966965
Phone
(270) 793-0869
Address
PO BOX 1095
Deactivation Date
14 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
2707930869
Graduation Year
1987 (39 years ago)
PAC ID
1254592470
Professional Enrollment ID
I20120416000710
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

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Provider Addresses for Unknown Individual

  • Franklin Post Office, Church Street, Franklin Falls Historic District, West Franklin, Franklin, Merrimack County, New Hampshire, 03235, United States

    FRANKLIN, KY 421351095

    Phone: (270) 793-0869

    Fax: (270) 842-2693

    Type: Mailing

  • 611, Old Morgantown Road, Bowling Green, Warren County, Kentucky, 42101, United States

    BOWLING GREEN, KY 421012713

    Phone: (270) 793-0869

    Fax: (270) 842-2693

    Type: Location

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 42135)

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Provider's Procedures

Unknown Individual performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYKY90836Psychotherapy, 45 minutes with patient and/or family member6530

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1710966965 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Franklin, Kentucky for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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