Organization
2ND CHANCE
Active
Organization
2ND CHANCE
Active
Parent organization
2ND CHANCE
Other names
2nd Chance Convenient Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
2ND CHANCE
Authorized official
MARVIN BISHIOP M.D. (OWNER)
(859) 368-8820
Entity
Organization
Contact information
Practice address
1420 N BROADWAY, LEXINGTON, KY 40505-3155
(859) 368-8820
Mailing address
1420 N BROADWAY, LEXINGTON, KY 40505-3155
(859) 368-8820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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