MEDICARE: SALON ASA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1538405956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALON ASA, LLC

Provider Business Mailing Address
First Line	:	431 SOUTHLAND DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-1826
Country	:	US
Telephone Number	:	859-276-5335
Fax Number	:

Provider Business Practice Location Address
First Line	:	431 SOUTHLAND DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-1826
Country	:	US
Telephone Number	:	859-276-5335
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. PAUL FRANKLIN GUMBERT
Credential	:
Telephone Number	:	859-276-5335

Provider Enumeration Date	:	12/13/2012
Last Update Date	:	12/13/2012

Similar Medicare Providers

1659541639 — BLUEGRASS TECHNOLOGY CENTER
Practice Location Address:

409 SOUTHLAND DRIVE
LEXINGTON, KY
40503-1826

Practice Phone: 859-294-4343
Practice Fax:

1205114220 — LINNIE S LEE
Practice Location Address:

409 SOUTHLAND DR
LEXINGTON, KY
40503-1826

Practice Phone: 859-294-4343
Practice Fax: 859-402-0905

1770861783 — DEBRA SUE SHARON
Practice Location Address:

409 SOUTHLAND DR
LEXINGTON, KY
40503-1826

Practice Phone: 859-294-4343
Practice Fax: 859-402-0950

1942299748 — NEW TANBARK HEALTH CARE CENTER, LLC
Practice Location Address:

1121 TANBARK RD
LEXINGTON, KY
40515-1826

Practice Phone: 859-273-7377
Practice Fax: 859-271-7747

1639125404 — WILLIAM C ALLEN M.D.
Practice Location Address:

112 W HIGH ST
LEXINGTON, KY
40507-1826

Practice Phone: 859-523-3009
Practice Fax: 859-523-5007

1407226319 — LP LEXINGTON TANBARK ROAD, LLC
Practice Location Address:

1121 TANBARK RD
LEXINGTON, KY
40515-1826

Practice Phone: 859-273-7377
Practice Fax:

Directions to “SALON ASA, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.