Healthcare Provider Details

I. General information

NPI: 1780501908
Provider Name (Legal Business Name): MYRON DARTT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: LISA DARTT

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824-836 EUCLID AVENUE, SUITE 303
LEXINGTON KY
40502
US

IV. Provider business mailing address

1220 HIGH POINT DR
NICHOLASVILLE KY
40356-8309
US

V. Phone/Fax

Practice location:
  • Phone: 859-494-1400
  • Fax:
Mailing address:
  • Phone: 859-494-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: