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Organization
CENTRAL KENTUCKY HIGH RISK OBSTETRICS, PLLC
Active
Organization
CENTRAL KENTUCKY HIGH RISK OBSTETRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERRY CAMPBELL M.D. (OWNER)
(859) 263-0141
Entity
Organization
Contact information
Practice address
170 N. EAGLE CREEK DRIVE, SUITE 110, LEXINGTON, KY 40509-1805
(859) 263-0141
(859) 263-8669
Mailing address
170 NORTH EAGLE CREEK DRIVE, STE 110, LEXINGTON, KY 40509-1805
(859) 263-0141
(859) 263-8669
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219605
ANTHEM BCBS
KY
Enumeration date
10/18/2007
Last updated
05/11/2010
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