NPI Code Details Logo

NPI 1780501908

NPI 1780501908 : MYRON DARTT : LEXINGTON, KY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780501908
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MYRON DARTT
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/30/2026
-----------------------------------------------------
    Last Update Date     |    06/30/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    824-836 EUCLID AVENUE, SUITE 303 
-----------------------------------------------------
    City                 |    LEXINGTON
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    40502
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    859-494-1400
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1220 HIGH POINT DR 
-----------------------------------------------------
    City                 |    NICHOLASVILLE
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    40356-8309
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    859-494-1400
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    372600000X
-----------------------------------------------------
    Taxonomy Name        |    Adult Companion
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.