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275 E Main St Room 1e-d Frankfort KY 40601-2321 | |
(502) 564-5555 | |
(502) 696-3996 |
Full Name | |
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Speciality | Clinic/center |
Location | 275 E Main St, Frankfort, Kentucky |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 275 E Main St Room 1e-d Frankfort KY 40601-2321 Ph: (502) 564-5555 |
NPI Number | 1518317999 |
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Provider Enumeration Date | 06/16/2016 |
Last Update Date | 08/15/2022 |
Identifier | Type | State | Issuer |
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1518317999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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