Healthcare Provider Details

I. General information

NPI: 1932451085
Provider Name (Legal Business Name): BAPTIST PHYSICIANS LEXNGTON, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2012
Last Update Date: 10/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 NICHOLASVILLE RD SUITE 403
LEXINGTON KY
40503-1400
US

IV. Provider business mailing address

1780 NICHOLASVILLE RD SUITE 403
LEXINGTON KY
40503-1400
US

V. Phone/Fax

Practice location:
  • Phone: 859-260-2580
  • Fax: 859-260-2585
Mailing address:
  • Phone: 859-260-2580
  • Fax: 859-260-2585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHY SUSAN MOBLEY
Title or Position: VICE PRESIDENT
Credential:
Phone: 859-260-4122