Healthcare Provider Details

I. General information

NPI: 1023358058
Provider Name (Legal Business Name): UNIVERSITY OF KENTUCKY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 S LIMESTONE KY CLINIC J 420
LEXINGTON KY
40536-0284
US

IV. Provider business mailing address

740 S LIMESTONE KY CLINIC J 420
LEXINGTON KY
40536-0284
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-2470
  • Fax: 859-323-5971
Mailing address:
  • Phone: 859-257-2470
  • Fax: 859-323-5971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number3728
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number3728
License Number StateKY

VIII. Authorized Official

Name: MRS. KAREN MICHAELS
Title or Position: PRACTICE MANAGER
Credential: CSW, CIA
Phone: 859-257-0537