Andover Family Medicine
Family Medicine in Lexington, KY. Organization (NPI-2).
NPI number1801951462
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1801951462
- Entity type
- Organization (NPI-2)
- Legal business name
- Andover Family Medicine
- Organization subpart
- No
- Enumeration date
- Dec 26, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 33166 | KY | Yes |
Practice location
2801 Palumbo DrSuite 200
Lexington, KY 40509-1317
Phone 859-268-0254 · Fax 859-263-0159
Mailing address
Po Box 55168Lexington, KY 40555-5168
Phone 859-268-0254 · Fax 859-263-0159
Authorized official
Kirsten Lea Cooper
Physician
8592680254
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