Individual
JAMES M COLLIER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 E MAXWELL ST, STE. 303, LEXINGTON, KY 40508-2640
(859) 425-1117
(859) 425-1130
Mailing address
169 BURT RD, LEXINGTON, KY 40503-2455
(859) 278-9242
(859) 278-0322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20763
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64207632
—
KY
01
—
P00151867
RR MEDICARE
KY
Enumeration date
05/17/2006
Last updated
06/19/2013
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