| Beaumont Integrated Medicine Psc | |
|
989 Governors Ln Lexington KY 40513-1173 | |
| (859) 559-4272 | |
| Not Available |
| Full Name | Beaumont Integrated Medicine Psc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 989 Governors Ln, Lexington, Kentucky |
| Authorized Official Name and Position | Daniel Vanhoose (ADMINISTRATOR) |
| Authorized Official Contact | 8595590804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Integrated Medicine Psc 7980 Solution Ctr Chicago IL 60677-7009 Ph: (859) 559-4272 | Beaumont Integrated Medicine Psc 989 Governors Ln Lexington KY 40513-1173 Ph: (859) 559-4272 |
| NPI Number | 1619377454 |
|---|---|
| Provider Enumeration Date | 08/29/2014 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619377454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 36483 (Kentucky) | Primary |
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