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NPI Code Detail

MEDICARE: KENTUCKY SPORTS MEDICINE CLINIC

MEDICARE: KENTUCKY SPORTS MEDICINE CLINIC
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
1207X00000XOrthopaedic Surgery Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CM6945OTHERKYGROUP RAILROAD MEDICARE #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326181728
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENTUCKY SPORTS MEDICINE CLINIC
Provider Business Mailing Address
First Line : 601 PERIMETER DR
Second Line : SUITE 200
City : LEXINGTON
State : KY
Zip : 40517-4121
Country : US
Telephone Number : 859-268-0268
Fax Number : 859-268-4519
Provider Business Practice Location Address
First Line : 601 PERIMETER DR
Second Line : SUITE 200
City : LEXINGTON
State : KY
Zip : 40517-4121
Country : US
Telephone Number : 859-268-0268
Fax Number : 859-268-4519
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MS. CINDY MACHAL SHORT
Credential :
Telephone Number : 859-268-0268
Provider Enumeration Date : 02/15/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1871598672 — WILLIAM J CURTIS MD
Practice Location Address:
601 PERIMETER DR , STE 200
LEXINGTON, KY
40517-4121
Practice Phone: 859-278-9393
Practice Fax: 859-278-0923
1780689588 — JOHANNES C EVANS MD
Practice Location Address:
601 PERIMETER DR , STE 200
LEXINGTON, KY
40517-4121
Practice Phone: 859-278-9393
Practice Fax: 859-278-0923
1558367805 — DR. DAVID L BLANDFORD MD
Practice Location Address:
601 PERIMETER DR , STE 200
LEXINGTON, KY
40517-4121
Practice Phone: 859-278-9393
Practice Fax: 859-278-0923
1558325076 — LARRY ROBERT ULLERY ATC
Practice Location Address:
601 PERIMETER DR , SUITE 200
LEXINGTON, KY
40517-4121
Practice Phone: 859-323-5533
Practice Fax: 859-257-0168
1649212960 — KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY
Practice Location Address:
601 PERIMETER DR , STE 200
LEXINGTON, KY
40517-4121
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Practice Fax: 859-278-0923
1619910569 — DR. PAUL M KARPECKI OD
Practice Location Address:
601 PERIMETER DR , SUITE 200
LEXINGTON, KY
40517-4121
Practice Phone: 859-278-9393
Practice Fax: 859-278-0923

Directions to “KENTUCKY SPORTS MEDICINE CLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.