OrganizationActive
Elite Physical Medicine LLC
NPI 1730709601 · Interventional Pain Medicine Physician · Hebron, KY
Provider details
- NPI number
- 1730709601
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Segraves, Ceo(859) 544-2421
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2091 N Bend Rd Ste 100
Hebron, KY 41048-9122
Phone: (859) 544-2421
Approximate (ZIP-level) locationGet directions
Mailing address
2091 N Bend Rd
Hebron, KY 41048-9691
Registry dates
- Enumerated
- 2020-04-21
- Last updated
- 2023-04-04
- Certified
- 2023-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.