| Crazycre8 | |
|
2420 Chimney Point Ln Lexington KY 40509-4364 | |
| (859) 608-9805 | |
| Not Available |
| Full Name | Crazycre8 |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2420 Chimney Point Ln, Lexington, Kentucky |
| Authorized Official Name and Position | Leighnia T Nance (APRN/CO-OWNER) |
| Authorized Official Contact | 8596089805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crazycre8 2420 Chimney Point Ln Lexington KY 40509-4364 Ph: (859) 608-9805 | Crazycre8 2420 Chimney Point Ln Lexington KY 40509-4364 Ph: (859) 608-9805 |
| NPI Number | 1891458212 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891458212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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