Healthcare Provider Details

I. General information

NPI: 1972620151
Provider Name (Legal Business Name): PLASTIC SURGEONS OF LEXINGTON, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 HARRODSBURG RD SUITE B-488
LEXINGTON KY
40504-3751
US

IV. Provider business mailing address

1401 HARRODSBURG RD SUITE B-488
LEXINGTON KY
40504-3751
US

V. Phone/Fax

Practice location:
  • Phone: 859-276-3883
  • Fax: 859-276-3855
Mailing address:
  • Phone: 859-276-3883
  • Fax: 859-276-3855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH L HILL JR.
Title or Position: PARTNER
Credential: MD
Phone: 859-276-3883