| Integra-telemedicine | |
|
4108 Clearwater Way Lexington KY 40515-6000 | |
| (859) 396-3050 | |
| Not Available |
| Full Name | Integra-telemedicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 4108 Clearwater Way, Lexington, Kentucky |
| Authorized Official Name and Position | Clayton P Gatterdam (MEMBER) |
| Authorized Official Contact | 8593963050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integra-telemedicine 4108 Clearwater Way Lexington KY 40515-6000 Ph: (859) 396-3050 | Integra-telemedicine 4108 Clearwater Way Lexington KY 40515-6000 Ph: (859) 396-3050 |
| NPI Number | 1518594282 |
|---|---|
| Provider Enumeration Date | 03/24/2020 |
| Last Update Date | 03/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518594282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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