| Premise Health Of Kentucky Medical, P.s.c. | |
|
8100 Ewing Blvd Florence KY 41042-7588 | |
| (859) 647-8725 | |
| (352) 314-3020 |
| Full Name | Premise Health Of Kentucky Medical, P.s.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8100 Ewing Blvd, Florence, Kentucky |
| Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Kentucky Medical, P.s.c. 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of Kentucky Medical, P.s.c. 8100 Ewing Blvd Florence KY 41042-7588 Ph: (859) 647-8725 |
| NPI Number | 1649946054 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 11/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649946054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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