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

Central Kentucky Interventional Pain Center, PLLC

Organization Specialist · NPI 1407855935

Central Kentucky Interventional Pain Center, PLLC is a Specialist in Danville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 W Broadway St
Danville, KY 40422-1408
Phone: (859) 236-0606
Fax: (859) 236-0066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X
Specialist Taxonomy 174400000X · Licence 28741 (KY)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1407855935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khursheed Siddiqui — Owner/Group President · (859) 236-0606
NPI enumeratedJuly 18, 2005
Last updated in NPPESDecember 28, 2017
Mailing addressPo Box 7096, Stockton, CA 95267-0096

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