| St Joseph Medical Foundation, Inc. | |
|
1401 Harrodsburg Rd Lexington KY 40504-3751 | |
| (859) 277-7281 | |
| Not Available |
| Full Name | St Joseph Medical Foundation, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Harrodsburg Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Carmel Jones (PRESIDENT/COO) |
| Authorized Official Contact | 6063095506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Medical Foundation, Inc. Po Box 73652 Cleveland OH 44193-0002 Ph: (859) 313-2758 | St Joseph Medical Foundation, Inc. 1401 Harrodsburg Rd Lexington KY 40504-3751 Ph: (859) 277-7281 |
| NPI Number | 1407152184 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 08/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407152184 | NPI | - | NPPES |
| 15167 | Other | KY | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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