| Epoch Health And Wellness Llc | |
|
2121 Richmond Rd Ste 201 Lexington KY 40502-1213 | |
| (859) 309-7400 | |
| Not Available |
| Full Name | Epoch Health And Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2121 Richmond Rd Ste 201, Lexington, Kentucky |
| Authorized Official Name and Position | Rondal Goble (OWNER) |
| Authorized Official Contact | 8592271251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epoch Health And Wellness Llc 4124 Boone Creek Rd Lexington KY 40509-9712 Ph: (859) 264-7886 | Epoch Health And Wellness Llc 2121 Richmond Rd Ste 201 Lexington KY 40502-1213 Ph: (859) 309-7400 |
| NPI Number | 1538712344 |
|---|---|
| Provider Enumeration Date | 07/20/2019 |
| Last Update Date | 04/15/2022 |
| Medicare PECOS PAC ID | 0648502062 |
|---|---|
| Medicare Enrollment ID | O20191104001923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538712344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rondal E Goble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952321515 PECOS PAC ID: 4981643301 Enrollment ID: I20050426000735 |
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