Healthcare Provider Details

I. General information

NPI: 1881641769
Provider Name (Legal Business Name): UNIVERSITY OF KENTUCKY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 ELM TREE LN
LEXINGTON KY
40507-2117
US

IV. Provider business mailing address

2347 STERLINGTON RD SUITE 300
LEXINGTON KY
40517-4024
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-7920
  • Fax: 859-254-2538
Mailing address:
  • Phone: 859-257-9521
  • Fax: 859-257-2950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number700103
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL KARPF
Title or Position: EXEC VP FOR HEALTH AFFAIRS
Credential: M.D.
Phone: 859-323-5126