Saint Joseph Medical Foundation, INC

NPI #1386876647 in Lexington, Kentucky

Provider Information

NPI Number
1386876647
Entity Type
Organization
Organization Name
Saint Joseph Medical Foundation, INC
Subpart
Yes (part of a larger organization)
Parent Organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 19, 2009
Last Updated
Aug 19, 2009

Practice Location

Address
150 N EAGLE CREEK DR
ZIP Code
40509-1805
Phone
(859) 967-5000

Authorized Official

Name
KANDI R REA
Title
CREDENTIALING SPECIALIST
Phone
(606) 330-3404

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Nurse Practitioner

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