Unknown Individual – Otolaryngology Physician, NPI 1629081385

Unknown Individual is a healthcare provider. based in Jackson, Kentucky. specializing in Otolaryngology Physician. They hold a License No. 36227 (KY). The NPI Number for Unknown Individual is 1629081385

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629081385
Phone
(606) 693-0342
Address
PO BOX 768
Deactivation Date
24 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 768

    JACKSON, KY 413390768

    Phone: (606) 693-0342

    Fax: (606) 666-9982

    Type: Mailing

  • 1550 HWY 15 SOUTH

    SUITE #29

    JACKSON, KY 413390768

    Phone: (606) 666-9909

    Fax: (606) 666-9982

    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

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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 41339)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1629081385 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Otolaryngology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Jackson, Kentucky for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1629081385. Always confirm identity and privileges with the practice and licensing boards.

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