| Commonwealth Medical Care, Llc | |
|
989 Governors Ln Suite 220 Lexington KY 40513-1173 | |
| (859) 338-3958 | |
| (859) 368-8135 |
| Full Name | Commonwealth Medical Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 989 Governors Ln, Lexington, Kentucky |
| Authorized Official Name and Position | Matt Beavin (OWNER) |
| Authorized Official Contact | 8593383958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Medical Care, Llc 989 Governors Ln Suite 240 Lexington KY 40513-1173 Ph: (859) 338-3958 | Commonwealth Medical Care, Llc 989 Governors Ln Suite 220 Lexington KY 40513-1173 Ph: (859) 338-3958 |
| NPI Number | 1427583178 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427583178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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