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

Bourbon Physician Practice LLC

Organization Professional Counselor · NPI 1790195717

Bourbon Physician Practice LLC is a Professional Counselor in Paris, Kentucky. Works from 3 locations. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
8
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

9 Linville Dr
Paris, KY 40361-2129
Phone: (859) 987-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 18 Clinic Dr, Paris, KY 40361-2161 — (859) 987-5090
  • 22 Clinic Dr, Paris, KY 40361-2161 — (859) 987-0074

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X
Otolaryngology Physician Taxonomy 207Y00000X
Neurology Physician Taxonomy 2084N0400X
Audiologist Taxonomy 231H00000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1790195717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Bowman — President · (615) 920-7000
NPI enumeratedApril 29, 2014
Last updated in NPPESSeptember 24, 2022
Certification dateSeptember 24, 2022
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

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