South Lexington Urgent Treatment Associates, Psc | |
3174 Custer Dr Suite 100 Lexington KY 40517-4000 | |
(859) 272-4882 | |
(859) 273-3916 |
Full Name | South Lexington Urgent Treatment Associates, Psc |
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Speciality | Family Medicine |
Location | 3174 Custer Dr, Lexington, Kentucky |
Authorized Official Name and Position | Larry Chelsie Burns (PRESIDENT) |
Authorized Official Contact | 8592724882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Lexington Urgent Treatment Associates, Psc 3174 Custer Dr Suite 100 Lexington KY 40517-4000 Ph: (859) 272-4882 | South Lexington Urgent Treatment Associates, Psc 3174 Custer Dr Suite 100 Lexington KY 40517-4000 Ph: (859) 272-4882 |
NPI Number | 1174607741 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 12/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174607741 | NPI | - | NPPES |
95900510 | Medicaid | KY | |
65935728 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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