# INTEGRITY EXTENDED HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093239469
- **Authorized official:** PALLAKI D RAVI MD (MEMBER)
- **Authorized official phone:** (248) 660-5830

## Contact information

- **Practice address:** 308 W MAPLE AVE, LANCASTER, KY 40444-1005
- **Practice address phone:** (248) 660-5830
- **Practice address fax:** (859) 224-2057
- **Mailing address:** PO BOX 10, EUBANK, KY 42567-0010
- **Mailing address phone:** (248) 660-5830
- **Mailing address fax:** (859) 224-2057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 46290 | KY | Yes |

## Other

- **Enumeration date:** 07/27/2017
- **Last updated:** 07/27/2017