Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Marymount Medical Center Physician Services

Anesthesiology Physician in London, KY · enumerated 2006 · authorized official Kandi Rea, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710951116

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Registry record

Entity type Organization (Type 2)

Legal business name Marymount Medical Center Physician Services

Practice address 1001 Saint Joseph Lane, London, KY, 40741

Phone (606) 330-6000

Fax (606) 330-7825

Enumeration date Feb 14, 2006

Last updated in NPPES Jun 13, 2011

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Primary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary

2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 40293 (KY) Secondary

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians Secondary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kandi Rea

Title Credentialing Specialist

Phone (606) 330-7808

Other identifiers

Identifier	Type	State	Issuer
65938177	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Marymount Medical Center Physician Services located?

The practice location on file with NPPES is in London, KY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-06-13. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-13.