Organization
BAPTIST PHYSICIANS LEXINGTON, INC
Active
Parent organization
BAPTIST PHYSICIANS LEXINGTON, INC
Other names
Baptist Family Medicine at Northside
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST PHYSICIANS LEXINGTON, INC
Authorized official
WILLIAM SISSON (PRESIDENT)
(859) 260-6104
Entity
Organization
Contact information
Practice address
1782 BRYAN STATION RD, LEXINGTON, KY 40505-2133
(859) 294-0077
(859) 294-0078
Mailing address
1782 BRYAN STATION RD, LEXINGTON, KY 40505-2133
(859) 294-0077
(859) 294-0078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64111156
—
KY
05
—
65945578
—
KY
Enumeration date
12/20/2007
Last updated
02/13/2008
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