Organization
KENTUCKY MEDICAL CENTER, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAINE LISNER M.D. (OWNER)
(859) 400-0123
Entity
Organization
Contact information
Practice address
208 LEGENDS LN, SUITE 130, LEXINGTON, KY 40505-3285
(859) 400-0123
Mailing address
208 LEGENDS LN, SUITE 130, LEXINGTON, KY 40505-3285
(859) 400-0123
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25368
KY
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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