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Organization
WELLINGTON PROVIDER GROUP PC
Active
Organization
WELLINGTON PROVIDER GROUP PC
Active
Parent organization
WELLINGTON PROVIDER GROUP PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLINGTON PROVIDER GROUP PC
Authorized official
BRITTANY DENNIS (BILLING/CREDENTIALING MANAGER)
(859) 518-8817
Entity
Organization
Contact information
Practice address
535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
(859) 439-0399
Mailing address
535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QG0250X
Genetics Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/04/2022
Last updated
05/18/2023
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