| Key Assets Kentucky, Inc. | |
|
961 Beasley St Ste 170 Lexington KY 40509-4120 | |
| (859) 226-5025 | |
| Not Available |
| Full Name | Key Assets Kentucky, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 961 Beasley St Ste 170, Lexington, Kentucky |
| Authorized Official Name and Position | Melinda Kinney (CREDENTIALING AGENT) |
| Authorized Official Contact | 8592709097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Assets Kentucky, Inc. 961 Beasley St Ste 170 Lexington KY 40509-4120 Ph: (859) 226-5025 | Key Assets Kentucky, Inc. 961 Beasley St Ste 170 Lexington KY 40509-4120 Ph: (859) 226-5025 |
| NPI Number | 1558747790 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 5496171589 |
|---|---|
| Medicare Enrollment ID | O20200819004039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558747790 | NPI | - | NPPES |
| Provider Name | Phyllis Leigh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346657111 PECOS PAC ID: 1951698406 Enrollment ID: I20160927001046 |
| Provider Name | Brittany W Rich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356731442 PECOS PAC ID: 4183043367 Enrollment ID: I20201008000500 |
| Provider Name | Jennifer Nicole Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659891570 PECOS PAC ID: 7719307487 Enrollment ID: I20201019001291 |
| Provider Name | Alexandria Filomena Carlos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407370422 PECOS PAC ID: 8820406044 Enrollment ID: I20210427002686 |
| Provider Name | Mikka Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881130193 PECOS PAC ID: 4789073982 Enrollment ID: I20211109002561 |
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