# UNIVERSITY OF KENTUCKY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF KENTUCKY
- **Other names:** UK Family Practice-Hazard
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063698991
- **Legal business name:** UNIVERSITY OF KENTUCKY
- **Authorized official:** MIKE STANLEY (ADMINISTRATOR)
- **Authorized official phone:** (606) 439-3557

## Contact information

- **Practice address:** 100 AIRPORT GARDENS RD, SUITE 7, HAZARD, KY 41701-9529
- **Practice address phone:** (859) 257-7922
- **Mailing address:** 2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
- **Mailing address phone:** (859) 218-5678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2008
- **Last updated:** 01/10/2008