| Diabetes Care Center Of Kentucky | |
|
135 E Maxwell St Suite 200 Lexington KY 40508-2678 | |
| (859) 422-4343 | |
| (859) 422-4361 |
| Full Name | Diabetes Care Center Of Kentucky |
|---|---|
| Speciality | Family Medicine |
| Location | 135 E Maxwell St, Lexington, Kentucky |
| Authorized Official Name and Position | Ann S Giles (ADMINISTRATOR OWNER) |
| Authorized Official Contact | 8594224343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Care Center Of Kentucky Po Box 23823 Lexington KY 40523-3823 Ph: (859) 422-4343 | Diabetes Care Center Of Kentucky 135 E Maxwell St Suite 200 Lexington KY 40508-2678 Ph: (859) 422-4343 |
| NPI Number | 1023195666 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023195666 | NPI | - | NPPES |
| 65941627 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
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