Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Central Kentucky Interventional Pain Center, PLLC

Organization Specialist · NPI 1407855935

Central Kentucky Interventional Pain Center, PLLC provides Specialist services in Danville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 W Broadway St
Danville, KY 40422-1408
Phone: (859) 236-0606
Fax: (859) 236-0066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X
Specialist Taxonomy 174400000X · Licence 28741 (KY)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1407855935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khursheed Siddiqui — Owner/Group President · (859) 236-0606
NPI enumeratedJuly 18, 2005
Last updated in NPPESDecember 28, 2017
Mailing addressPo Box 7096, Stockton, CA 95267-0096

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