Healthcare Provider Details

I. General information

NPI: 1174650675
Provider Name (Legal Business Name): LEXINGTON FAYETTE URBAN COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 NEWTOWN PIKE
LEXINGTON KY
40508-1113
US

IV. Provider business mailing address

650 NEWTOWN PIKE
LEXINGTON KY
40508-1113
US

V. Phone/Fax

Practice location:
  • Phone: 859-288-2311
  • Fax: 859-288-2313
Mailing address:
  • Phone: 859-288-2311
  • Fax: 859-288-2313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS CARRIE WHITE
Title or Position: CLINIC SERVICES TEAM LEADER
Credential:
Phone: 859-288-2311