| Edelson And Associates Of Kentucky | |
|
230 Lexington Green Cir Ste 420 Lexington KY 40503-3337 | |
| (859) 287-0760 | |
| Not Available |
| Full Name | Edelson And Associates Of Kentucky |
|---|---|
| Speciality | Psychologist |
| Location | 230 Lexington Green Cir Ste 420, Lexington, Kentucky |
| Authorized Official Name and Position | Virginia Marie Steelman (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edelson And Associates Of Kentucky 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (859) 287-0760 | Edelson And Associates Of Kentucky 230 Lexington Green Cir Ste 420 Lexington KY 40503-3337 Ph: (859) 287-0760 |
| NPI Number | 1689449910 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Medicare PECOS PAC ID | 5092120030 |
|---|---|
| Medicare Enrollment ID | O20240328002673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689449910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Heather W Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861659302 PECOS PAC ID: 0345300554 Enrollment ID: I20081118000553 |
| Provider Name | Robin L Sublett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578724548 PECOS PAC ID: 2062728165 Enrollment ID: I20150903002873 |
| Provider Name | Anne Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174061675 PECOS PAC ID: 7416226733 Enrollment ID: I20170629002836 |
| Provider Name | Byron White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790777357 PECOS PAC ID: 5890128219 Enrollment ID: I20191125002622 |
| Provider Name | Kyle D Dennison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790155968 PECOS PAC ID: 4981049855 Enrollment ID: I20240301000587 |
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