# ANGELA D LEWIS DO PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1821398173
- **Authorized official:** DR. ANGELA D LEWIS DO (OWNER)
- **Authorized official phone:** (606) 836-1954

## Contact information

- **Practice address:** 1021 KENWOOD DR, RUSSELL, KY 41169-1527
- **Practice address phone:** (606) 836-1954
- **Practice address fax:** (606) 836-3878
- **Mailing address:** 1021 KENWOOD DR, RUSSELL, KY 41169-1527
- **Mailing address phone:** (606) 836-1954
- **Mailing address fax:** (606) 836-3878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02545 | KY | Yes |

## Other

- **Enumeration date:** 11/02/2010
- **Last updated:** 11/02/2010