Organization
LIVING WELL PLLC
Active
Other names
Living Well Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX HAMMOND (DIRECTOR)
(859) 410-8550
Entity
Organization
Contact information
Practice address
771 CORPORATE DRIVE, SUITE 610, LEXINGTON, KY 40503-5440
(859) 410-8550
(859) 223-0642
Mailing address
PO BOX 910544, LEXINGTON, KY 40591-0544
(859) 410-8550
(859) 223-0642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33755
KY
Other
Enumeration date
03/29/2012
Last updated
10/19/2012
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