Organization
MED-LIFE-FIT MEDICAL AND LIFESTYLE MANAGEMENT FAMILY MEDICAL CENTER L
Active
Other names
Kentuckiana Medical Weight Loss Centers
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY HORN (OFFICE MANAGER)
(502) 371-9700
Entity
Organization
Contact information
Practice address
10512 MEETING ST STE 101, PROSPECT, KY 40059-7590
(502) 276-4706
Mailing address
10512 MEETING ST STE 101, PROSPECT, KY 40059-7590
(502) 276-4706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34201
KY
207QB0002X
Obesity Medicine (Family Medicine) Physician
34201
KY
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/27/2014
Last updated
06/19/2019
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