| Alliance Personalized Health Care Pllc | |
|
151 N Eagle Creek Dr Ste 410 Lexington KY 40509-1894 | |
| (859) 469-4534 | |
| Not Available |
| Full Name | Alliance Personalized Health Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 151 N Eagle Creek Dr Ste 410, Lexington, Kentucky |
| Authorized Official Name and Position | Clair E Palley (OWNER) |
| Authorized Official Contact | 8594694534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Personalized Health Care Pllc 151 N Eagle Creek Dr Ste 410 Lexington KY 40509-1894 Ph: (859) 469-4534 | Alliance Personalized Health Care Pllc 151 N Eagle Creek Dr Ste 410 Lexington KY 40509-1894 Ph: (859) 469-4534 |
| NPI Number | 1770274540 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Medicare PECOS PAC ID | 4284097197 |
|---|---|
| Medicare Enrollment ID | O20230824003889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770274540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Eric W Bradburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972559714 PECOS PAC ID: 3375563745 Enrollment ID: I20051130000265 |
| Provider Name | Clair E Palley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619935459 PECOS PAC ID: 8123039401 Enrollment ID: I20060530000050 |
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