| Commonwealth Family Physicians Psc | |
|
1000 Monarch St Suite 100 Lexington KY 40513-1899 | |
| (859) 278-8421 | |
| (859) 278-1751 |
| Full Name | Commonwealth Family Physicians Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Monarch St, Lexington, Kentucky |
| Authorized Official Name and Position | Charles Calvin Johnson (PRESIDENT) |
| Authorized Official Contact | 8592788421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Family Physicians Psc 1000 Monarch St Suite 100 Lexington KY 40513-1899 Ph: (859) 278-8421 | Commonwealth Family Physicians Psc 1000 Monarch St Suite 100 Lexington KY 40513-1899 Ph: (859) 278-8421 |
| NPI Number | 1821133141 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 10/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821133141 | NPI | - | NPPES |
| 7100244500 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02349 (Kentucky) | Primary |
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