Organization
CENTRAL KENTUCKY HIGH RISK OBSTETRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERRY CAMPBELL M.D. (OWNER)
(859) 263-0141
Entity
Organization
Contact information
Practice address
170 N. EAGLE CREEK DRIVE, SUITE 110, LEXINGTON, KY 40509-1805
(859) 263-0141
(859) 263-8669
Mailing address
170 NORTH EAGLE CREEK DRIVE, STE 110, LEXINGTON, KY 40509-1805
(859) 263-0141
(859) 263-8669
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219605
ANTHEM BCBS
KY
Enumeration date
10/18/2007
Last updated
05/11/2010
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