Four Rivers Internal Medicine, PLLC
NPI 1912992421ActiveOrganization· Internal Medicine· Paducah, KY
Internal Medicine in Paducah, Kentucky, registered in NPPES in September 2005. The authorized official on file is Kimberly D. Walker, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912992421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2005 |
| Last updated in NPPES | Oct 13, 2026 |
| Certified by provider | Oct 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 21063 | KY |
| Nurse Practitioner, Family | 363LF0000X | 6224S | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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