| Susan E Neil MD. PSC | |
|
2101 Nicholasville Rd Ste 206 Lexington KY 40503-2518 | |
| (859) 278-6345 | |
| Not Available |
| Full Name | Susan E Neil MD. PSC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 Nicholasville Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Susan E Neil (PHYSICIAN) |
| Authorized Official Contact | 8592786345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E Neil MD. PSC 2101 Nicholasville Rd Ste 206 Lexington KY 40503-2518 Ph: (859) 278-6345 | Susan E Neil MD. PSC 2101 Nicholasville Rd Ste 206 Lexington KY 40503-2518 Ph: (859) 278-6345 |
| NPI Number | 1508174616 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 5294921987 |
|---|---|
| Medicare Enrollment ID | O20101119000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508174616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 26109 (Kentucky) | Primary |
| Provider Name | Susan E Neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225026826 PECOS PAC ID: 7719174754 Enrollment ID: I20101203000183 |
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