| Industrial Wellness Services Of Kentucky, Pllc | |
|
55 W Cal Hill Spur Pine Knot KY 42635-9194 | |
| (606) 376-9355 | |
| (606) 376-9356 |
| Full Name | Industrial Wellness Services Of Kentucky, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 W Cal Hill Spur, Pine Knot, Kentucky |
| Authorized Official Name and Position | Dustin Hamlin (PRESIDENT) |
| Authorized Official Contact | 6063769355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Industrial Wellness Services Of Kentucky, Pllc Po Box 41 Whitley City KY 42653-0041 Ph: (606) 376-9355 | Industrial Wellness Services Of Kentucky, Pllc 55 W Cal Hill Spur Pine Knot KY 42635-9194 Ph: (606) 376-9355 |
| NPI Number | 1851618607 |
|---|---|
| Provider Enumeration Date | 05/03/2010 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Medicare PECOS PAC ID | 3577781582 |
|---|---|
| Medicare Enrollment ID | O20140903001931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851618607 | NPI | - | NPPES |
| Provider Name | Cecile Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730236654 PECOS PAC ID: 8123119377 Enrollment ID: I20070802000389 |
| Provider Name | Dustin C Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912324609 PECOS PAC ID: 6204054216 Enrollment ID: I20140903001956 |
| Provider Name | Stephanie Sumner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013550060 PECOS PAC ID: 6608200522 Enrollment ID: I20200102000331 |
| Provider Name | Theresa S Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013583012 PECOS PAC ID: 0446637094 Enrollment ID: I20220519002145 |
| Provider Name | Heather Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609586692 PECOS PAC ID: 5193197051 Enrollment ID: I20230202002566 |