# CENTRAL KENTUCKY HIGH RISK OBSTETRICS, PLLC

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

## Provider details

- **NPI number:** 1891984597
- **Authorized official:** BERRY CAMPBELL M.D. (OWNER)
- **Authorized official phone:** (859) 263-0141

## Contact information

- **Practice address:** 170 N. EAGLE CREEK DRIVE, SUITE 110, LEXINGTON, KY 40509-1805
- **Practice address phone:** (859) 263-0141
- **Practice address fax:** (859) 263-8669
- **Mailing address:** 170 NORTH EAGLE CREEK DRIVE, STE 110, LEXINGTON, KY 40509-1805
- **Mailing address phone:** (859) 263-0141
- **Mailing address fax:** (859) 263-8669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 05/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000219605 | ANTHEM BCBS | KY |