Organization
UCFA PHYSICIANS NETWORK GROUP OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEO STEPHENS (ACTING CHIEF OF PRG)
(423) 271-9911
Entity
Organization
Contact information
Practice address
110 W VINE ST, LEXINGTON, KY 40507-1658
(423) 271-9911
Mailing address
8930 CROSS PARK DR STE 3, KNOXVILLE, TN 37923-4713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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