| Mackey Clinic LLC | |
|
405 Southland Dr Lexington KY 40503 | |
| (859) 523-0101 | |
| (859) 813-5251 |
| Full Name | Mackey Clinic LLC |
|---|---|
| Speciality | General Practice |
| Location | 405 Southland Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Linda L Mackey (OWNER) |
| Authorized Official Contact | 8595230101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackey Clinic LLC 405 Southland Dr Lexington KY 40503 Ph: (859) 523-0101 | Mackey Clinic LLC 405 Southland Dr Lexington KY 40503 Ph: (859) 523-0101 |
| NPI Number | 1386738284 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386738284 | NPI | - | NPPES |
| 64024524 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 02452 (Kentucky) | Primary |
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