Healthcare Provider Details

I. General information

NPI: 1548334667
Provider Name (Legal Business Name): LEXINGTON HEART SPECIALISTS, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 NICHOLASVILLE RD SUITE 402
LEXINGTON KY
40503-1471
US

IV. Provider business mailing address

1760 NICHOLASVILLE RD SUITE 402
LEXINGTON KY
40503-1471
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-0383
  • Fax:
Mailing address:
  • Phone: 859-278-0383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM H SKINNER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 859-278-0383