Facility
COMMONWEALTH SPECIALISTS OF KENTUCKY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770741498 · enumerated 2008-05-29 · record updated 2015-02-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. TEDRICK JOHNSON, vice president · (502) 352-2530
Addresses and phones
- Mailing address 279 KINGS DAUGHTERS DR, SUITE 100, FRANKFORT, KY, 40601-6514 (502) 352-2530 Google Maps Apple Maps OpenStreetMap
- Practice location 279 KINGS DAUGHTERS DR, SUITE 308, FRANKFORT, KY, 40601-6514 (502) 352-2530 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse, General Practice 163WG0000X
- Nurse Practitioner 363L00000X · License 34 KY
- Physician Assistant 363A00000X · License 19 KY
- Internal Medicine, Gastroenterology 207RG0100X · License 19 KY
- Surgery 208600000X · License 19 KY
- Internal Medicine, Cardiovascular Disease 207RC0000X · License 19 KY
- 208VP0000X 208VP0000X · Primary
In this directory
Locations and evidence
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Practice location
FRANKFORT, KY, 406016514
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.