| Madison Pike - Ft Wright | |
|
1045 Eaton Dr Ft Wright KY 41017-9655 | |
| (859) 331-3529 | |
| (407) 866-2842 |
| Full Name | Madison Pike - Ft Wright |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1045 Eaton Dr, Ft Wright, Kentucky |
| Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Pike - Ft Wright 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Madison Pike - Ft Wright 1045 Eaton Dr Ft Wright KY 41017-9655 Ph: (859) 331-3529 |
| NPI Number | 1598438822 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598438822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Onhealthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Augusta Ave, Ft Wright, KY 41011 Phone: 248-528-1981 Fax: 248-528-2963 |