Organization
LEXINGTON CLINIC KIDNEY CENTER
Active
Parent organization
LEXINGTON CLINIC KIDNEY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON CLINIC KIDNEY CENTER
Authorized official
RANDALL K. LEMAY (CHIEF FINANCIAL OFFICER)
(859) 258-4101
Entity
Organization
Contact information
Practice address
350 ELAINE DR, SUITE 200, LEXINGTON, KY 40504-2741
(859) 253-2520
(859) 253-2583
Mailing address
350 ELAINE DR, SUITE 200, LEXINGTON, KY 40504-2741
(859) 253-2520
(859) 253-2583
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169
MEDICARE GROUP NUMBER
KY
05
—
39090311
—
KY
Enumeration date
11/09/2006
Last updated
10/02/2007
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