# UCFA PHYSICIANS NETWORK GROUP OF KENTUCKY

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

## Provider details

- **NPI number:** 1821765892
- **Authorized official:** THEO STEPHENS (ACTING CHIEF OF PRG)
- **Authorized official phone:** (423) 271-9911

## Contact information

- **Practice address:** 110 W VINE ST, LEXINGTON, KY 40507-1658
- **Practice address phone:** (423) 271-9911
- **Mailing address:** 8930 CROSS PARK DR STE 3, KNOXVILLE, TN 37923-4713

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2021
- **Last updated:** 08/26/2021