Healthcare Provider Details

I. General information

NPI: 1407190192
Provider Name (Legal Business Name): BAPTIST PHYSICIANS LEXINGTON, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 11/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 BULLION BLVD
WINCHESTER KY
40391-2933
US

IV. Provider business mailing address

799 E BRANNON RD
NICHOLASVILLE KY
40356-6038
US

V. Phone/Fax

Practice location:
  • Phone: 859-745-7700
  • Fax: 859-745-7733
Mailing address:
  • Phone: 859-745-7700
  • Fax: 859-745-7733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHY S MOBLEY
Title or Position: VICE PRESIDENT
Credential:
Phone: 859-260-4122