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Organization
HORIZON HEALTHCARE CENTER LLC
Active
Organization
HORIZON HEALTHCARE CENTER LLC
Active
Other names
Paragon Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY UNDERWOOD (CREDENTIALING AGENT)
(859) 303-8746
Entity
Organization
Contact information
Practice address
2628 WILHITE CT, LEXINGTON, KY 40503-3327
(859) 303-8746
Mailing address
1031 WELLINGTON WAY STE 240, LEXINGTON, KY 40513-1257
(859) 303-8746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
16524
KY
2084P0804X
Child & Adolescent Psychiatry Physician
17681
KY
261QP2300X
Primary Care Clinic/Center
700122
KY
363L00000X
Nurse Practitioner
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000789
—
KY
Enumeration date
06/08/2006
Last updated
09/02/2021
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