Organization
JOSEPHINE'S FAYETTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA J. ARMSTRONG CERTIFIED FITTER-MAS (OWNER/PRESIDENT)
(859) 269-6222
Entity
Organization
Contact information
Practice address
125 CODELL DR STE 104, LEXINGTON, KY 40509-1183
(859) 269-6222
(859) 268-7492
Mailing address
125 CODELL DR STE 104, LEXINGTON, KY 40509-1183
(859) 269-6222
(859) 268-7492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321955
ANTHEM BCBS
KY
05
—
7100234150
—
KY
01
—
7525929
CIGA
KY
01
—
7525929
CIGA
—
Enumeration date
08/12/2006
Last updated
07/21/2022
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