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NPI Code Detail

MEDICARE: MARY L IRELAND M.D.

MEDICARE: MARY L IRELAND M.D.
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 Physician24323KY
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician24323KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
225001766OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000048615OTHERKYANTHEM BCBS
34341027OTHERKYAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427072883
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY L IRELAND M.D.
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 : 2195 HARRODSBURG RD STE 125
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3543
Country : US
Telephone Number : 859-218-3064
Fax Number : 859-257-8696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 01/29/2024

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Directions to “ MARY L IRELAND M.D.” Practice Location

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