# THE BARIATRIC INSTITUE OF KENTUCKY

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

## Provider details

- **NPI number:** 1649289588
- **Authorized official:** DR. RANDALL BOLAR MD (PRESIDENT)
- **Authorized official phone:** (859) 233-0572

## Contact information

- **Practice address:** 125 E MAXWELL ST, SUITE 201, LEXINGTON, KY 40508-2678
- **Practice address phone:** (859) 233-0572
- **Practice address fax:** (859) 233-0651
- **Mailing address:** 870 CORPORATE DR, SUITE 400, LEXINGTON, KY 40503-5416
- **Mailing address phone:** (859) 277-9436
- **Mailing address fax:** (859) 277-1765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 35317 | KY | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 08/22/2020
