EASTERN KENTUCKY UNIVERSITY

NPI # 

Practice Address:

1306 Versailles Rd , Suite 120

Lexington, KY, 40504-1117

Practice Phone:

859-259-0717

Practice Fax:

859-254-7874

License Number:

700160

License State:

KY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X