Organization
WELLINGTON PROVIDER GROUP, PC
Active
Parent organization
WELLINGTON PROVIDER GROUP, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLINGTON PROVIDER GROUP, PC
Authorized official
BRITTANY DENNIS (CREDENTIALING MANAGER)
(859) 518-8817
Entity
Organization
Contact information
Practice address
535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
(859) 439-0400
Mailing address
535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
(859) 439-0400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
03/06/2023
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