Healthcare Provider Details

I. General information

NPI: 1790784825
Provider Name (Legal Business Name): DRS BORDERS AND ASSOCIATES, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 NICHOLASVILLE RD STE 106
LEXINGTON KY
40503-2517
US

IV. Provider business mailing address

2101 NICHOLASVILLE RD STE 106
LEXINGTON KY
40503-2517
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-5926
  • Fax: 859-276-3189
Mailing address:
  • Phone: 859-278-5926
  • Fax: 859-276-3189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN VIRGIL BORDERS
Title or Position: PRESIDENT
Credential: MD
Phone: 859-278-5926