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Organization

HORIZON HEALTHCARE CENTER LLC

Active
Other names
Paragon Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
BRITTANY UNDERWOOD (CREDENTIALING AGENT)
(859) 303-8746
Entity
Organization

Contact information

Practice address
2628 WILHITE CT, LEXINGTON, KY 40503-3327
(859) 303-8746
Mailing address
1031 WELLINGTON WAY STE 240, LEXINGTON, KY 40513-1257
(859) 303-8746

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
16524
KY
2084P0804X
Child & Adolescent Psychiatry Physician
17681
KY
261QP2300X
Primary Care Clinic/Center
700122
KY
363L00000X
Nurse Practitioner
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31000789
KY
Enumeration date
06/08/2006
Last updated
09/02/2021
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