Organization · NPI-2

Danville Osteopathic Internist P.S.C.

Internal Medicine · Danville, KY

NPI number1073718227
StatusActive
Last updated in NPPESJan 3, 2013

Details

NPI
1073718227
Entity type
Organization (NPI-2)
Legal business name
Danville Osteopathic Internist P.S.C.
Organization subpart
No
Enumeration date
Jun 18, 2007
Last updated
Jan 3, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine02678KYYes

Practice location

101 S 2nd St
Danville, KY 40422-1801

Phone 859-238-9310 · Fax 859-238-9312

Mailing address

101 S 2nd St
Danville, KY 40422-1801

Phone 859-238-9310 · Fax 859-238-9312

Authorized official

Todd F Lackney
Physician
8592389310

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Danville, KY