Organization
NORTH LEXINGTON URGENT TREATMENT ASSOCIATES PSC
Active
Other names
Urgent Treatment Clinics UTC
Organization subpart
No
Provider details
NPI number
Authorized official
FADI BACHA MD (MEDICAL DIRECTOR PRESIDENT)
(859) 269-4668
Entity
Organization
Contact information
Practice address
1055 DOVE RUN RD, LEXINGTON, KY 40502-3536
(859) 269-4668
(859) 266-5577
Mailing address
1055 DOVE RUN RD, SUITE 200, LEXINGTON, KY 40502-3536
(859) 268-0061
(859) 266-1152
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65935736
—
KY
05
—
7100041440
—
KY
05
—
78903945
—
KY
Enumeration date
01/11/2006
Last updated
05/13/2010
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