Unknown Individual – Family Medicine Physician, NPI 1851314694

Unknown Individual is a healthcare provider. based in Beattyville, Kentucky. specializing in Family Medicine Physician. They hold a License No. 24635 (KY). The NPI Number for Unknown Individual is 1851314694

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1851314694
Phone
(606) 208-8077
Address
PO BOX 1279
Deactivation Date
22 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
8921024472
Professional Enrollment ID
I20051024000502
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

  • PO BOX 1279

    BEATTYVILLE, KY 413111279

    Phone: (606) 208-8077

    Fax: (606) 208-8091

    Type: Mailing

  • 1025, Grand Avenue, Beattyville, Lee County, Kentucky, 41311, United States

    BEATTYVILLE, KY 413111279

    Phone: (606) 208-8077

    Fax: (606) 208-8091

    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.

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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 41311)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1851314694 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Beattyville, Kentucky. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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