| South Lexington Urgent Treatment Associates, Psc | |
|
3174 Custer Dr Suite 100 Lexington KY 40517-4000 | |
| (859) 272-4882 | |
| (859) 273-3916 |
| Full Name | South Lexington Urgent Treatment Associates, Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 3174 Custer Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Larry Chelsie Burns (PRESIDENT) |
| Authorized Official Contact | 8592724882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Lexington Urgent Treatment Associates, Psc 3174 Custer Dr Suite 100 Lexington KY 40517-4000 Ph: (859) 272-4882 | South Lexington Urgent Treatment Associates, Psc 3174 Custer Dr Suite 100 Lexington KY 40517-4000 Ph: (859) 272-4882 |
| NPI Number | 1174607741 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174607741 | NPI | - | NPPES |
| 95900510 | Medicaid | KY | |
| 65935728 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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