Organization
LEXINGTON GYN ONCOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIS SMITH DONALDSON JR. MD (PRESIDENT)
(859) 278-5671
Entity
Organization
Contact information
Practice address
1780 NICHOLASVILLE ROAD, 101, LEXINGTON, KY 40503
(859) 278-5671
(859) 278-5978
Mailing address
1780 NICHOLASVILLE ROAD, 101, LEXINGTON, KY 40503
(859) 278-5671
(859) 278-5978
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
16232
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050684
ANTHEM
KY
Enumeration date
04/21/2006
Last updated
08/22/2020
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