DR. KOBKIT PUTRAKUL


Address: 210 Marie Langdon Dr, Manchester, KY 40962
Phone: 6065985104

DR. KOBKIT PUTRAKUL (NPI# 1699951558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699951558
Entity Type Individual
Full Name DR. KOBKIT PUTRAKUL
Credential MD
Practice Address 210 Marie Langdon Dr
Manchester
KY 40962
Mailing Address 600 Greenway Dr
London
KY 40741-1629
Practice Telephone 6065985104
Practice Fax Number 6069837252
Mailing Telephone 6064015490
Enumeration Date 2008-01-10
Last Update Date 2018-07-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 41570 KY Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine TP656 KY Allopathic & Osteopathic Physicians

Office Location

Street Address 210 MARIE LANGDON DR
City MANCHESTER
State KY
Zip Code 40962

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770553463 Anita F Cornett Internal Medicine 210 Marie Langdon Dr, Manchester, KY 40962-6388 2006-01-25
1134778475 Alma Asher Nurse Practitioner 210 Marie Langdon Dr, Manchester, KY 40962-6388 2019-09-09
1821575002 Tara Lee Griffitts Nurse Practitioner 210 Marie Langdon Dr, Manchester, KY 40962-6388 2018-07-20
1720586837 Michael Shawn Ledford Pharmacist 210 Marie Langdon Dr, Manchester, KY 40962-6388 2018-01-24
1992203004 Derrick Clinton Herron Pharmacist 210 Marie Langdon Dr, Manchester, KY 40962-6388 2018-01-24
1275974412 Kayla Renee Marcum Nurse Practitioner 210 Marie Langdon Dr, Manchester, KY 40962-6388 2013-07-16
1649573692 Memorial Hospital, Inc. Radiology 210 Marie Langdon Dr, Manchester, KY 40962-6388 2010-12-14
1588972673 Zaman Shah Hospitalist 210 Marie Langdon Dr, Manchester, KY 40962-6388 2010-09-22
1326371287 Tammy Lynn Hacker Physical Therapy Assistant 210 Marie Langdon Dr, Manchester, KY 40962-6388 2009-09-10
1205086097 Michael Todd Brashear Nurse Anesthetist, Certified Registered 210 Marie Langdon Dr, Manchester, KY 40962-6388 2008-09-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609392356 Angela Woods Speech-Language Pathologist 96 Woods Rd, Manchester, KY 40962 2017-08-15
1346627296 Betty Alevras Nurse Practitioner 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 2015-04-29
1740525773 Clay Community Pharmacy LLC Pharmacy 118 Clay Co S/c, Manchester, KY 40962 2012-12-03
1669758579 Becky F Stubblefield Nurse Practitioner 65 Glenndale Drive, Manchester, KY 40962 2011-10-25
1891022315 Sabrina Nicole Hacker Occupational Therapist 376 Manchester Square Shopping Centre, Manchester, KY 40962 2009-11-04
1114102167 H&n Drug Durable Medical Equipment & Medical Supplies 515 Memorial Dr., Suite 2, Manchester, KY 40962 2008-01-08
1598944043 Cumberland Valley Dist. Health Dept Public Health or Welfare 1983 Hwy 421, Manchester, KY 40962 2007-11-01
1023223203 Dinah Lynn Sowders Speech-Language Pathologist 561 Mill Pond Drive, Manchester, KY 40962 2007-05-11
1104965300 American Health Management, Inc. Case Management 2609 Hwy 80, Manchester, KY 40962 2007-02-05
1306902572 Manchester Pharmacist Group LLC Durable Medical Equipment & Medical Supplies 415 Richmond Road, Unit B, Manchester, KY 40962 2006-12-29
Find all providers in zip 40962

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225529621 Hometown Family Medical Emergency Medicine 909 Hillsboro Blvd, Manchester, TN 37355-2025 2018-05-22
1902020936 Jack E Simons Emergency Medicine 2 Lochhaven Ln, Manchester, MO 63021-8020 2007-04-12
1528148632 Ronald Leon Williams Emergency Medicine 1611 Mcarthur St, Manchester, TN 37355-2532 2006-10-16
1538257076 Ahmed El Gammal Emergency Medicine 509 Memorial Drive, Suite 2, Manchester, KY 40962-6195 2006-10-10
1780783308 Brian Francis Miller Emergency Medicine 92 School St, Manchester, MA 01944-1139 2006-09-21
1790792141 Neil Edward Christopher Jr. Emergency Medicine 1001 Mcarthur St, Manchester, TN 37355-2419 2006-08-01
1427097120 Jeffrey L Newswanger Emergency Medicine 210 Marie Langdon Drive, Manchester, KY 40962-6388 2006-06-06
1881676856 David G Florence Emergency Medicine 804 Keylon St, Manchester, TN 37355-2414 2005-11-16
1467433623 Harry Albert Bartee Jr. Emergency Medicine 193 Relco Dr, Manchester, TN 37355-7386 2005-11-07
1285627935 Elliot Professional Services Emergency Medicine 1070 Holt Ave, Unit 1, Suite 2200, Manchester, NH 03109-5603 2005-08-29
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 40962

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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