| Tates Creek Family Practice, Plc | |
|
4071 Tates Creek Centre Dr Suite 100 Lexington KY 40517-3062 | |
| (859) 273-3888 | |
| (859) 977-0170 |
| Full Name | Tates Creek Family Practice, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 4071 Tates Creek Centre Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Gayle Thomas (PRACTICE MANAGER) |
| Authorized Official Contact | 8592733888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tates Creek Family Practice, Plc 4071 Tates Creek Centre Dr Suite 100 Lexington KY 40517-3062 Ph: (859) 273-3888 | Tates Creek Family Practice, Plc 4071 Tates Creek Centre Dr Suite 100 Lexington KY 40517-3062 Ph: (859) 273-3888 |
| NPI Number | 1710019674 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710019674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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