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

Specialty Physician Assistant, LLC

Organization Family Medicine Physician · NPI 1528484037

Specialty Physician Assistant, LLC is a Family Medicine Physician in Elkhorn City, Kentucky. Licensed in Kentucky. Registered with an NPI since 2014.

Licensed in
KY
In the registry since
2014
Specialties on file
4
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

17401 Ky Highway 80 E
Elkhorn City, KY 41522-8226
Phone: (606) 754-7100
Fax: (606) 754-0770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (KY)
Family Medicine Physician Taxonomy 207Q00000X (KY)
Physician Assistant Taxonomy 363A00000X (KY)
Nurse Practitioner Taxonomy 363L00000X (KY)

Record details

NPI number1528484037
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nichol Burchfield — Owner/Member · (606) 422-4764
Other names Russell Fork Walk-In Clinic; Russell Fork Walk-In Clinic
NPI enumeratedMarch 7, 2014
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing addressPo Box 2122, Pikeville, KY 41502-2122

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