| Baptist Internal Medicine Group At Leestown Road | |
|
1697 Peabody Way Lexington KY 40511 | |
| (859) 226-2840 | |
| (859) 226-2849 |
| Full Name | Baptist Internal Medicine Group At Leestown Road |
|---|---|
| Speciality | Internal Medicine |
| Location | 1697 Peabody Way, 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 Internal Medicine Group At Leestown Road Po Box 910802 Lexington KY 40591-0802 Ph: (859) 260-6901 | Baptist Internal Medicine Group At Leestown Road 1697 Peabody Way Lexington KY 40511 Ph: (859) 226-2840 |
| NPI Number | 1447455282 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447455282 | NPI | - | NPPES |
| 65945578 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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