Organization
BUFFALO RUN PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS ALAN FORBES P.T. (PRESIDENT)
(879) 745-6277
Entity
Organization
Contact information
Practice address
3191 BEAUMONT CENTRE CIR, LEXINGTON, KY 40513-1845
(859) 223-0101
(859) 277-0760
Mailing address
PO BOX 695, FRANKFORT, KY 40602-0695
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000368088
ANTHEM BLUE CROSS
KY
01
—
1189025
CHA
KY
01
—
7019684
AETNA
KY
Enumeration date
01/15/2007
Last updated
08/22/2020
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