Organization
ABUNDANT LIVING MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BETTS (AUTHORIZED OFFICIAL)
(859) 263-4900
Entity
Organization
Contact information
Practice address
3100 OLD TODDS RD, SUITE 150, LEXINGTON, KY 40509-5006
(859) 263-4900
Mailing address
3100 OLD TODDS RD, SUITE 150, LEXINGTON, KY 40509-5006
(859) 263-4900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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