# MED-LIFE-FIT MEDICAL AND LIFESTYLE MANAGEMENT FAMILY MEDICAL CENTER L

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kentuckiana Medical Weight Loss Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023426632
- **Authorized official:** LINDSAY HORN (OFFICE MANAGER)
- **Authorized official phone:** (502) 371-9700

## Contact information

- **Practice address:** 10512 MEETING ST STE 101, PROSPECT, KY 40059-7590
- **Practice address phone:** (502) 276-4706
- **Mailing address:** 10512 MEETING ST STE 101, PROSPECT, KY 40059-7590
- **Mailing address phone:** (502) 276-4706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34201 | KY | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | 34201 | KY | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/27/2014
- **Last updated:** 06/19/2019