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

Proactive MD Ky PSC

Organization Family Medicine Physician · NPI 1548883960

Proactive MD Ky PSC is a Family Medicine Physician in Louisville, Kentucky. Registered with an NPI since 2020.

In the registry since
2020
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

4340 Crittenden Dr
Louisville, KY 40209-1600
Phone: (864) 501-0751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1548883960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kemble — Cmo · (864) 501-0815
NPI enumeratedMay 20, 2020
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address124 Allawood Ct, Simpsonville, SC 29681-6207

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