# WELLINGTON PROVIDER GROUP OF KANSAS PA

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

## Provider details

- **NPI number:** 1497492110
- **Authorized official:** JENNIFER ROSSI MD (OWNER)
- **Authorized official phone:** (201) 803-7440

## Contact information

- **Practice address:** 535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
- **Practice address phone:** (859) 439-0400
- **Mailing address:** PO BOX 234, CLOVERDALE, IN 46120-0234
- **Mailing address phone:** (317) 354-5370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2022
- **Last updated:** 05/14/2022