| Lifeway Medical Care | |
|
515 Memorial Dr Manchester KY 40962-9157 | |
| (606) 598-4530 | |
| (606) 599-2530 |
| Full Name | Lifeway Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 515 Memorial Dr, Manchester, Kentucky |
| Authorized Official Name and Position | Connie Farmer (BILLING MANAGER) |
| Authorized Official Contact | 6065985104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeway Medical Care 509 Memorial Dr Suite 2 Manchester KY 40962-6195 Ph: (606) 598-5104 | Lifeway Medical Care 515 Memorial Dr Manchester KY 40962-9157 Ph: (606) 598-4530 |
| NPI Number | 1598166092 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598166092 | NPI | - | NPPES |
| 31001134 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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