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Organization

PEDIATRIC & ADOLESCENT ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARNETT LEWIS M.D. (PRESIDENT)
(859) 277-6102
Entity
Organization

Contact information

Practice address
3050 HARRODSBURG RD, LEXINGTON, KY 40503-2747
(859) 277-6102
(859) 977-0237
Mailing address
3050 HARRODSBURG RD, LEXINGTON, KY 40503-2747
(859) 277-6102
(859) 977-0237

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65911612
KY
Enumeration date
09/25/2006
Last updated
04/21/2023
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