Organization
CENTRAL KENTUCKY WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M DANIELS J.D. (EXECUTIVE DIRECTOR)
(859) 277-7246
Entity
Organization
Contact information
Practice address
2375 PROFESSIONAL HEIGHTS DR, SUITE 240, LEXINGTON, KY 40503-3040
(859) 277-7246
(859) 277-0061
Mailing address
2375 PROFESSIONAL HEIGHTS DR, SUITE 240, LEXINGTON, KY 40503-3040
(859) 277-7246
(859) 277-0061
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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