Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Hospitals for Children Ambulatory Surgery Center-Lexington
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
110 CONN TER, LEXINGTON, KY 40508-3206
(859) 268-5630
(859) 268-5636
Mailing address
PO BOX 8500, LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(859) 268-5630
(859) 268-5636
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
KY
Other
Enumeration date
01/16/2015
Last updated
09/20/2019
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