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NPI Code Detail

MEDICARE: PHYSICIANS HEALTH GROUP OF KENTUCKY, PLLC

MEDICARE: PHYSICIANS HEALTH GROUP OF KENTUCKY, PLLC
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
1225100000XPhysical Therapist
2363LF0000XFamily Nurse Practitioner
3363A00000XPhysician Assistant
4208100000XPhysical Medicine & Rehabilitation PhysicianDR0018703CO

General Provider Information

NPI Number : 1437555299
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS HEALTH GROUP OF KENTUCKY, PLLC
Provider Business Mailing Address
First Line : 1019 MAJESTIC DR STE 270-D
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1496
Country : US
Telephone Number : 859-687-9456
Fax Number :
Provider Business Practice Location Address
First Line : 1019 MAJESTIC DR
Second Line : SUITE 270-D
City : LEXINGTON
State : KY
Zip : 40513-1496
Country : US
Telephone Number : 859-687-9456
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : MARVIN L SWANSON
Credential : MD
Telephone Number : 859-687-9456
Provider Enumeration Date : 11/06/2014
Last Update Date : 03/27/2026

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Directions to “PHYSICIANS HEALTH GROUP OF KENTUCKY, PLLC ” Practice Location

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