Individual
CHRIS ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 N EAGLE CREEK DR, LEXINGTON, KY 40509-1806
(859) 275-4878
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 288-7510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55624
KY
Other
Enumeration date
03/29/2014
Last updated
09/23/2024
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