Organization
NEW LEXINGTON CLINIC, PSC
Active
Parent organization
NEW LEXINGTON CLINIC, PSC
Other names
Lexington Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW LEXINGTON CLINIC, PSC
Authorized official
KENNY CRAIK (CHIEF FINANCIAL OFFICER)
(859) 258-4104
Entity
Organization
Contact information
Practice address
1225 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4627
(859) 258-6127
Mailing address
PO BOX 11790, LEXINGTON, KY 40578-1790
(859) 258-6000
(859) 258-6123
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65923740
—
KY
Enumeration date
09/25/2006
Last updated
02/03/2021
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