Organization
INTERNAL MEDICINE ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE MOBERLY MANAGER (OFFICE MANAGER)
(859) 276-4486
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD, SUITE B-160, LEXINGTON, KY 40504-3751
(859) 276-4486
(859) 277-9164
Mailing address
1401 HARRODSBURG RD, SUITE B-160, LEXINGTON, KY 40504-3751
(859) 276-4486
(859) 277-9164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65924193
—
KY
01
—
CL6978
RAILROAD MEDICARE
KY
Enumeration date
01/24/2007
Last updated
10/19/2010
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