| Healing Grace Llc | |
|
2050 Versailles Rd Lexington KY 40504-1405 | |
| (859) 254-5701 | |
| Not Available |
| Full Name | Healing Grace Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2050 Versailles Rd, Lexington, Kentucky |
| Authorized Official Name and Position | April Nevarez-maggard (PRESIDENT) |
| Authorized Official Contact | 3347141789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Grace Llc 290 Spears Pt Lancaster KY 40444-7424 Ph: () - | Healing Grace Llc 2050 Versailles Rd Lexington KY 40504-1405 Ph: (859) 254-5701 |
| NPI Number | 1124481593 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 04/21/2020 |
| Medicare PECOS PAC ID | 6305277997 |
|---|---|
| Medicare Enrollment ID | O20200514002793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124481593 | NPI | - | NPPES |
| 7100403670 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | April G Nevarez-maggard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477872307 PECOS PAC ID: 6709020266 Enrollment ID: I20160201002616 |
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