Healthcare Provider Details

I. General information

NPI: 1386670503
Provider Name (Legal Business Name): KEIGHTLEY & PARSLEY P S C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SAINT JOSEPH DR
LEXINGTON KY
40504-3742
US

IV. Provider business mailing address

PO BOX 635009
CINCINNATI OH
45263-5009
US

V. Phone/Fax

Practice location:
  • Phone: 859-313-1000
  • Fax:
Mailing address:
  • Phone: 859-313-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BARRY PARSLEY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 859-313-1000