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JUNIOR UNIVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2350 REGENCY RD STE A, LEXINGTON, KY 40503-2351
(859) 278-4960
(859) 277-2840
Mailing address
2350 REGENCY RD STE A, LEXINGTON, KY 40503-2351
(859) 278-4960
(859) 278-0033

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
56493
KY
2086S0129X
Vascular Surgery Physician
Primary
56493
KY

Other

Enumeration date
06/21/2012
Last updated
06/02/2023
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