Beaumont Integrated Medicine Psc

NPI #1619377454 in Lexington, Kentucky

Provider Information

NPI Number
1619377454
Entity Type
Organization
Organization Name
Beaumont Integrated Medicine Psc
Primary Specialty
Family Medicine - Adult Medicine
Enumeration Date
Aug 29, 2014
Last Updated
Sep 16, 2015

Practice Location

Address
989 GOVERNORS LN
ZIP Code
40513-1173
Phone
(859) 559-4272

Authorized Official

Name
MR. DANIEL VANHOOSE, ARNP
Title
ADMINISTRATOR
Phone
(859) 559-0804

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adult MedicineAdult Medicine

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