| Baptist Family Medicine At Northside | |
|
1782 Bryan Station Rd Lexington KY 40505-2133 | |
| (859) 294-0077 | |
| (859) 294-0078 |
| Full Name | Baptist Family Medicine At Northside |
|---|---|
| Speciality | Family Medicine |
| Location | 1782 Bryan Station Rd, Lexington, Kentucky |
| Authorized Official Name and Position | William Sisson (PRESIDENT) |
| Authorized Official Contact | 8592606104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Family Medicine At Northside 1782 Bryan Station Rd Lexington KY 40505-2133 Ph: (859) 294-0077 | Baptist Family Medicine At Northside 1782 Bryan Station Rd Lexington KY 40505-2133 Ph: (859) 294-0077 |
| NPI Number | 1922282383 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 02/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922282383 | NPI | - | NPPES |
| 65945578 | Medicaid | KY | |
| 64111156 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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