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

Proactive MD Ky PSC

Organization Family Medicine Physician · NPI 1548883960

Proactive MD Ky PSC provides Family Medicine Physician services in Louisville, Kentucky. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4340 Crittenden Dr
Louisville, KY 40209-1600
Phone: (864) 501-0751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1548883960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kemble — Cmo · (864) 501-0815
NPI enumeratedMay 20, 2020
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address124 Allawood Ct, Simpsonville, SC 29681-6207

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