Organization
BAPTIST PHYSICIANS LEXINGTON, INC
Active
Parent organization
BAPTIST PHYSICIANS LEXINGTON, INC
Other names
Baptist Neurology Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST PHYSICIANS LEXINGTON, INC
Authorized official
WILLIAM SISSON (PRESIDENT)
(859) 260-6104
Entity
Organization
Contact information
Practice address
1800 NICHOLASVILLE RD, STE 301, LEXINGTON, KY 40503-1443
(859) 278-5452
(859) 275-1153
Mailing address
1800 NICHOLASVILLE RD, STE 301, LEXINGTON, KY 40503-1443
(859) 278-5452
(859) 275-1153
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17434
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047429
BLUE CROSS BLUE SHIELD
—
05
—
64174345
—
KY
05
—
65945578
—
KY
Enumeration date
08/21/2006
Last updated
06/02/2009
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