# GORDON P GUTHRIE, JR., M.D. PSC

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

## Provider details

- **NPI number:** 1174825962
- **Authorized official:** GORDON P GUTHRIE JR. M.D. (PHYSICIAN)
- **Authorized official phone:** (859) 275-1943

## Contact information

- **Practice address:** 1780 NICHOLASVILLE ROAD, SUITE 602, LEXINGTON, KY 40503-1400
- **Practice address phone:** (859) 275-1943
- **Practice address fax:** (859) 277-8999
- **Mailing address:** PO BOX 1985, LEXINGTON, KY 40588-1985
- **Mailing address phone:** (859) 277-8179
- **Mailing address fax:** (859) 277-9320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 18859 | KY | Yes |

## Other

- **Enumeration date:** 11/30/2010
- **Last updated:** 02/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64188592 | — | KY |