Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

New Age Vitality Clinic LLC

Organization Family Medicine Physician · NPI 1700251626

New Age Vitality Clinic LLC provides Family Medicine Physician services in Paintsville, Kentucky. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

327 Broadway St
Paintsville, KY 41240-1348 Not confirmed with CMS for 10 years — call before visiting
Phone: (606) 789-8531
Fax: (606) 789-8893
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1700251626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristy Wireman — Owner · (606) 789-8531
NPI enumeratedDecember 3, 2015
Last updated in NPPESMarch 8, 2016
Mailing address327 Broadway St, Paintsville, KY 41240-1348

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