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

Licking Valley Internal Medicine & Pediatrics PSC

Organization Internal Medicine Physician · NPI 1225136153

Licking Valley Internal Medicine & Pediatrics PSC is an Internal Medicine Physician in Cynthiana, Kentucky. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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

1210 Ky Highway 36 E Ste 2A
Cynthiana, KY 41031-7490
Phone: (859) 234-9611
Fax: (859) 235-0878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1225136153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William McKemie — President · (859) 234-9611
NPI enumeratedSeptember 21, 2006
Last updated in NPPESApril 7, 2010
Mailing address1210 Ky Highway 36 E, Suite 2a, Cynthiana, KY 41031-7490

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