Organization
WELLINGTON PROVIDER GROUP PC
Active
Parent organization
WELLINGTON PROVIDER GROUP PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLINGTON PROVIDER GROUP PC
Authorized official
BRITTANY DENNIS (BILLING/CREDENTIALING MANAGER)
(859) 518-8817
Entity
Organization
Contact information
Practice address
121 WASHINGTON AVE N FL 4, MINNEAPOLIS, MN 55401-2503
(859) 493-2812
Mailing address
535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
(859) 439-0400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
01/24/2023
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