| Lexington Psychiatric Group, Psc | |
|
1030 Monarch St Suite 100 Lexington KY 40513-1843 | |
| (859) 296-0066 | |
| (859) 296-1155 |
| Full Name | Lexington Psychiatric Group, Psc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1030 Monarch St, Lexington, Kentucky |
| Authorized Official Name and Position | Charles I Shelton (OWNER/PRESIDENT) |
| Authorized Official Contact | 8592960066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Psychiatric Group, Psc 1030 Monarch St Suite 100 Lexington KY 40513-1843 Ph: (859) 296-0066 | Lexington Psychiatric Group, Psc 1030 Monarch St Suite 100 Lexington KY 40513-1843 Ph: (859) 296-0066 |
| NPI Number | 1407089790 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 09/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407089790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 02282 (Kentucky) | Primary |
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