Commonwealth Of Kentucky

Specialty details in registry · Lexington, KY

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At a glance

1350 Bull Lea Rd, Lexington, KY 40511-1247

NPPES record updated Aug 7, 2024. Public records can lag behind changes at a practice.

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Practice location

1350 Bull Lea Rd
Lexington, KY 40511-1247
Professional details: NPI, taxonomy & registry record
NPI1790816395
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
283Q00000X
Enumeration date
Mar 8, 2007
Record updated
Aug 7, 2024
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

283Q00000X

Specialty details in registry

283Q00000X · Primary

Specialty details in registry

3336I0012X

License reported: P06579 KY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1350 Bull Lea Rd
Lexington, KY 40511-1247
Phone
(859) 246-8000
Fax
(859) 246-8043
Mailing address
1350 BULL LEA RD

LEXINGTON, KY 405111247
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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