| Premise Health Of Kentucky Medical, P.s.c. | |
|
1045 Eaton Dr Ft Wright KY 41017-9655 | |
| (859) 331-3529 | |
| (407) 866-2842 |
| Full Name | Premise Health Of Kentucky Medical, P.s.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1045 Eaton Dr, Ft Wright, 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. 1045 Eaton Dr Ft Wright KY 41017-9655 Ph: (859) 331-3529 |
| NPI Number | 1598438822 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 11/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598438822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Embody Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Dixie Hwy Ste 970, Ft Wright, KY 41011 Phone: 859-320-9300 Fax: 859-320-9301 |