Organization
BAPTIST PHYSICIANS LEXINGTON, INC
Active
Organization
BAPTIST PHYSICIANS LEXINGTON, INC
Active
Parent organization
BAPTIST PHYSICIANS LEXINGTON, INC
Other names
Baptist Internal Medicine and Pediatrics at Brannon Crossing
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST PHYSICIANS LEXINGTON, INC
Authorized official
MR. WILLIAM SISSON (PRESIDENT)
(859) 260-6104
Entity
Organization
Contact information
Practice address
100 PROVIDENCE WAY, SUITE 200, NICHOLASVILLE, KY 40356-6031
(859) 260-5370
(859) 260-5379
Mailing address
799 E BRANNON RD, NICHOLASVILLE, KY 40356-6038
(859) 260-5370
(859) 260-5379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100073430 (MD GRP)
—
KY
05
—
7100099020 (PA GRP)
—
KY
Enumeration date
02/20/2012
Last updated
07/31/2014
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