Unknown Individual – Emergency Medicine Physician, NPI 1104854496

Unknown Individual is a healthcare provider. based in Prospect, Kentucky. specializing in Emergency Medicine Physician. They hold a License No. 39442 (KY). The NPI Number for Unknown Individual is 1104854496

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104854496
Phone
Not provided
Address
9400 HARLOW CT
Deactivation Date
24 November 2021
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

  • 9400 HARLOW CT

    PROSPECT, KY 400597605

    Phone:

    Type: Mailing

  • Frankfort Regional Medical Center, 299, Kings Daughters Drive, Frankfort, Franklin County, Kentucky, 40601, United States

    FRANKFORT, KY 406016514

    Phone: (502) 875-5240

    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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 40059)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1104854496 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Prospect, Kentucky may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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