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Licking Valley Internal Medicine & Pediatrics Psc

Internal Medicine Physician in Carlisle, KY · enumerated 2007 · authorized official Donna Martin, Office Manager.

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

National Provider Identifier

1871626820

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Registry record

Entity type Organization (Type 2)
Legal business name Licking Valley Internal Medicine & Pediatrics Psc
Other name <Unavail>
Parent organization Licking Valley Internal Medicine & Pediatrics, Psc
Practice address 254 E Main St, Carlisle, KY, 40311
Fax (859) 289-3366
Enumeration date Mar 13, 2007
Last updated in NPPES Jan 3, 2008

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA783 (KY) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Donna Martin
Title Office Manager

Other identifiers

Identifier Type State Issuer
65934341 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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Licking Valley Internal Medicine & Pediatrics Psc?
Licking Valley Internal Medicine & Pediatrics Psc is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-03.