Christopher D Runkle, PT | |
1099 Duval St Ste 120, Lexington, KY 40515-6489 | |
(859) 639-0090 | |
Not Available |
Full Name | Christopher D Runkle |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1099 Duval St Ste 120, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245561356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 007407 (Kentucky) | Primary |
Provider Name | Baptist Health Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Mailing Address | Practice Location Address |
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Christopher D Runkle, PT 5200 Commerce Crossings Dr Fl 3, Louisville, KY 40229-2182 Ph: (502) 861-5278 | Christopher D Runkle, PT 1099 Duval St Ste 120, Lexington, KY 40515-6489 Ph: (859) 639-0090 |
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