Isaiah House Inc | |
535 W Second St Ste 301&310 Lexington KY 40508-9002 | |
(859) 375-9200 | |
Not Available |
Full Name | Isaiah House Inc |
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Speciality | Family Medicine |
Location | 535 W Second St Ste 301&310, Lexington, Kentucky |
Authorized Official Name and Position | Lucille Koehl (VP) |
Authorized Official Contact | 3177557433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Isaiah House Inc Po Box 188 Willisburg KY 40078-0188 Ph: (859) 375-9200 | Isaiah House Inc 535 W Second St Ste 301&310 Lexington KY 40508-9002 Ph: (859) 375-9200 |
NPI Number | 1215793112 |
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Provider Enumeration Date | 02/27/2024 |
Last Update Date | 07/01/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215793112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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