MEDICARE: UNIVERSITY OF KENTUCKY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1083470223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF KENTUCKY

Provider Business Mailing Address
First Line	:	2317 ALUMNI PARK PLZ STE 150
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-4291
Country	:	US
Telephone Number	:	859-257-9521
Fax Number	:	859-257-1773

Provider Business Practice Location Address
First Line	:	2091 LANTERN RIDGE DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-6037
Country	:	US
Telephone Number	:	859-562-0690
Fax Number	:	859-257-3828

Authorized Official
Title or Position	:	CHIEF OF PAYER ADMINISTRATION
Name	:	ELAINE DEBORD YOUNCE
Credential	:
Telephone Number	:	859-257-9521

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	01/06/2026

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Directions to “UNIVERSITY OF KENTUCKY ” Practice Location

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