| Kentuckyone Health Medical Group, Inc. | |
|
1401 Harrodsburg Rd Lexington KY 40504-3751 | |
| (606) 330-7835 | |
| (606) 330-7825 |
| Full Name | Kentuckyone Health Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1401 Harrodsburg Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Carmel Jones (COO) |
| Authorized Official Contact | 8593131713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentuckyone Health Medical Group, Inc. Po Box 936 London KY 40743-0936 Ph: (606) 330-7835 | Kentuckyone Health Medical Group, Inc. 1401 Harrodsburg Rd Lexington KY 40504-3751 Ph: (606) 330-7835 |
| NPI Number | 1902238694 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/14/2025 |
| Certification Date | 08/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902238694 | NPI | - | NPPES |
| 7100200890 (PA) | Medicaid | KY | |
| 200434820A | Medicaid | IN | |
| 7100161650 (FRAZIER) | Medicaid | KY | |
| 7100200840 (LCSW) | Medicaid | KY | |
| 7100225220 (FFM) | Medicaid | KY | |
| 000000060604 | Other | KY | ANTHEM GRP # |
| 7100200880 (CRNA) | Medicaid | KY | |
| 7100200870 (MD) | Medicaid | KY | |
| 7100246920 (SALEEM) | Medicaid | KY | |
| 7100292390 (DPM) | Medicaid | KY | |
| 78904851 (NP) | Medicaid | KY | |
| 7100247000 (SFM-SHE) | Medicaid | KY |
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