Organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Active
Parent organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Other names
Saint Joseph Allied Providers
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT JOSEPH MEDICAL FOUNDATION, INC
Authorized official
KANDI R REA (CREDENTIALING SPECIALIST)
(606) 330-3404
Entity
Organization
Contact information
Practice address
150 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 967-5000
(859) 967-5001
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(606) 330-3404
(606) 330-3100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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