RESTART CLINIC PLLC NPI 1568954279

NPI Information

  • NPI: 1568954279
  • Provider Name: RESTART CLINIC, PLLC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 129 EDGEWOOD PLAZA DR
    NICHOLASVILLE, KY
    ZIP 40356
  • Phone: (859) 264-7722

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NPI Details

RESTART CLINIC, PLLC is an addiction medicine family medicine in Nicholasville, KY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. RESTART CLINIC, PLLC NPI is 1568954279. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

129 EDGEWOOD PLAZA DR
NICHOLASVILLE, KY
ZIP 40356-818
Phone: (859) 264-7722

The provider's authorized official is Jack L Hollins .
The authorized official title is Member/manager and has the following contact phone number (859) 264-7722.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 5/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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