OrganizationActive
Kentucky Medical Spa
NPI 1326440637 · Primary Care Clinic/Center · Paintsville, KY
Provider details
- NPI number
- 1326440637
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Brackett, President(606) 788-1035
- License
- 14390 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
636 Jefferson Ave
Paintsville, KY 41240-1349
Phone: (606) 788-1035
Fax: (606) 788-1045
Street-level locationGet directions
Mailing address
Po Box 2710
Paintsville, KY 41240-6710
Registry dates
- Enumerated
- 2014-09-17
- Last updated
- 2014-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.