Organization
NEPHROLOGY ASSOCIATES OF LEXINGTON PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE M CREELMAN (PRACTICE MANAGER)
(859) 406-6170
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD, C-335, LEXINGTON, KY 40504-3751
(859) 278-2575
(859) 275-1630
Mailing address
1401 HARRODSBURG RD, C-335, LEXINGTON, KY 40504-3751
(859) 278-2575
(859) 275-1630
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6590578800
—
KY
Enumeration date
09/20/2006
Last updated
10/05/2021
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