| Beth a Holmes D O Faafp | |
|
2101 Nicholasville Rd Ste 103 Lexington KY 40503-2530 | |
| (859) 278-7813 | |
| (859) 277-2499 |
| Full Name | Beth a Holmes D O Faafp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2101 Nicholasville Rd Ste 103, Lexington, Kentucky |
| Authorized Official Name and Position | Beth a Holmes (MD/AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 8592780264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth a Holmes D O Faafp 2101 Nicholasville Rd Ste 103 Lexington KY 40503-2517 Ph: (859) 278-0264 | Beth a Holmes D O Faafp 2101 Nicholasville Rd Ste 103 Lexington KY 40503-2530 Ph: (859) 278-7813 |
| NPI Number | 1265609440 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 7214925759 |
|---|---|
| Medicare Enrollment ID | O20040504000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265609440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | 25717 (Louisiana) | Primary |
| Provider Name | Beth Ann Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376544221 PECOS PAC ID: 1456309194 Enrollment ID: I20050110000130 |
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