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Organization
ISAIAH HOUSE INC
Active
Organization
ISAIAH HOUSE INC
Active
Other names
Isaiah House Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE KOEHL (VP)
(317) 755-7433
Entity
Organization
Contact information
Practice address
535 W SECOND ST STE 300, LEXINGTON, KY 40508-1268
(859) 375-9200
Mailing address
PO BOX 188, WILLISBURG, KY 40078-0188
(859) 375-9200
(859) 375-9202
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
NULL
1223D0001X
Public Health Dentistry
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/16/2026
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