| Marshall Lifestyle Medicine, Psc | |
|
2251 War Admiral Way Suite 125 Lexington KY 40509-2546 | |
| (859) 608-4841 | |
| Not Available |
| Full Name | Marshall Lifestyle Medicine, Psc |
|---|---|
| Speciality | General Practice |
| Location | 2251 War Admiral Way, Lexington, Kentucky |
| Authorized Official Name and Position | Michael Kitchen (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8596084841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Lifestyle Medicine, Psc 2105 Wicksbury Pl Lexington KY 40515-1168 Ph: (859) 608-4841 | Marshall Lifestyle Medicine, Psc 2251 War Admiral Way Suite 125 Lexington KY 40509-2546 Ph: (859) 608-4841 |
| NPI Number | 1306240049 |
|---|---|
| Provider Enumeration Date | 10/09/2014 |
| Last Update Date | 10/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306240049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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