Unknown Individual – Family Medicine Physician, NPI 1609861970

Unknown Individual is a healthcare provider. based in Versailles, Kentucky. specializing in Family Medicine Physician. They hold a License No. 13229 (KY). The NPI Number for Unknown Individual is 1609861970

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609861970
Phone
(859) 879-9695
Address
102 BRECKINRIDGE LN
Deactivation Date
1 December 2020
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

  • 102 BRECKINRIDGE LN

    VERSAILLES, KY 403831248

    Phone: (859) 879-9695

    Type: Mailing

  • 102 BRECKENRIDGE LANE

    VERSAILLES, KY 403831474

    Phone: (859) 879-9695

    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 40383)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1609861970 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Versailles?
Unknown Individual currently maps to Versailles, Kentucky in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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