Jeffersonville Integrative Clinic LLC
NPI 1861219644ActiveOrganization· Family Medicine· Jeffersonville, IN
Family Medicine in Jeffersonville, Indiana, registered in NPPES in September 2024. The authorized official on file is Rickey Dale Kinzey, DO, Provider/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861219644 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2024 |
| Last updated in NPPES | Mar 26, 2026 |
| Certified by provider | Mar 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
Other Family Medicine providers in Jeffersonville
- 1811648827
- 1629015953
- 1396901104
- 1235450867
- 1962421990
- 1316031511
- 1689452641
- 1902323009
- 1962550020
- 1689404741
- 1821126970
- 1255943767