Healthcare Provider Details

I. General information

NPI: 1720035223
Provider Name (Legal Business Name): ASSOCIATES FOR WOMEN'S CARE, P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 05/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3213 SUMMIT SQUARE PL SUITE 20
LEXINGTON KY
40509-2636
US

IV. Provider business mailing address

3213 SUMMIT SQUARE PL SUITE 20
LEXINGTON KY
40509-2636
US

V. Phone/Fax

Practice location:
  • Phone: 859-381-1066
  • Fax: 859-263-0650
Mailing address:
  • Phone: 859-381-1066
  • Fax: 859-263-0650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: LARRY S. BUTLER
Title or Position: OWNER
Credential: M.D.
Phone: 859-381-1066