| Chevy Chase Primary Care LLC | |
|
330 Romany Rd Lexington KY 40502-2404 | |
| (859) 269-7337 | |
| (859) 335-0157 |
| Full Name | Chevy Chase Primary Care LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 330 Romany Rd, Lexington, Kentucky |
| Authorized Official Name and Position | James C Owen (OWNER) |
| Authorized Official Contact | 8592697337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chevy Chase Primary Care LLC 330 Romany Rd Lexington KY 40502-2404 Ph: (859) 269-7337 | Chevy Chase Primary Care LLC 330 Romany Rd Lexington KY 40502-2404 Ph: (859) 269-7337 |
| NPI Number | 1104459502 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 02/14/2020 |
| Certification Date | 02/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104459502 | NPI | - | NPPES |
| 1669453635 | Other | KY | NPI |
| 1063981231 | Other | KY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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