Provider Demographics
NPI:1134550098
Name:ADVANCED PAIN AND SPINE INSTITUTE AND HEALTH AND WELLNESS CENTER OF CI
Entity type:Organization
Organization Name:ADVANCED PAIN AND SPINE INSTITUTE AND HEALTH AND WELLNESS CENTER OF CI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:E
Authorized Official - Last Name:KERSCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-564-9320
Mailing Address - Street 1:PO BOX 856300
Mailing Address - Street 2:DEPT 138
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40285-6300
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9600 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7246
Practice Address - Country:US
Practice Address - Phone:606-564-9320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty