Healthcare Provider Details

I. General information

NPI: 1043243942
Provider Name (Legal Business Name): ARTHRITIS CENTER OF LEXINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2022
Certification Date: 07/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 WALLER AVE SUITE 100
LEXINGTON KY
40504-2931
US

IV. Provider business mailing address

330 WALLER AVE SUITE 100
LEXINGTON KY
40504-2931
US

V. Phone/Fax

Practice location:
  • Phone: 859-254-7000
  • Fax: 859-255-4381
Mailing address:
  • Phone: 859-254-7000
  • Fax: 859-255-4381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: KELLY K COLE
Title or Position: PARTNER
Credential: MD
Phone: 859-254-7000