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Organization
LIVING WELL PLLC
Active
Organization
LIVING WELL PLLC
Active
Other names
Living Well Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX HAMMOND (DIRECTOR)
(859) 410-8550
Entity
Organization
Contact information
Practice address
771 CORPORATE DRIVE, SUITE 610, LEXINGTON, KY 40503-5440
(859) 410-8550
(859) 223-0642
Mailing address
PO BOX 910544, LEXINGTON, KY 40591-0544
(859) 410-8550
(859) 223-0642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33755
KY
Other
Enumeration date
03/29/2012
Last updated
10/19/2012
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