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	103TC0700X	Clinical Psychologist
2	1223G0001X	General Practice Dentistry
3	1223P0106X	Oral and Maxillofacial Pathology Dentistry
4	1223P0221X	Pediatric Dentistry
5	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry
6	1223X2210X	Orofacial Pain Dentistry
7	125Q00000X	Oral Medicine Dentistry
8	225100000X	Physical Therapist	PT006370	KY
9	122300000X	Dentist

Other Identifiers

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

General Provider Information

NPI Number	:	1730225129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF KENTUCKY

Provider Business Mailing Address
First Line	:	PO BOX 931240
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0004
Country	:	US
Telephone Number	:	859-323-1345
Fax Number	:	859-257-5859

Provider Business Practice Location Address
First Line	:	740 S LIMESTONE ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536-0284
Country	:	US
Telephone Number	:	859-257-3462
Fax Number	:	859-323-0066

Authorized Official
Title or Position	:	SR VP HEALTH AFFAIRS / CFO
Name	:	CRAIG COLLINS
Credential	:
Telephone Number	:	859-257-1773

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	02/13/2024

Similar Medicare Providers

1801893730 — DR. STUART TOBIN MD
Practice Location Address:

740 S. LIMESTONE, RM L119 , UNIVERSITY OF KENTUCKY, KY CLINIC
LEXINGTON, KY
40536-0284

Practice Phone: 859-257-3253
Practice Fax: 859-323-6840

1760472658 — THOMAS ALLAN WOODWARD MD
Practice Location Address:

K142 KENTUCKY CLINIC
LEXINGTON, KY
40536-0284

Practice Phone: 859-323-3864
Practice Fax: 859-857-2195

1699758268 — DR. THEODORE WRIGHT M.D.
Practice Location Address:

740 S LIMESTONE , A301
LEXINGTON, KY
40536-0284

Practice Phone: 859-323-6494
Practice Fax: 859-257-4682

1487630273 — MS. KIMBERLY ANN BENNETT APRN, PA-C
Practice Location Address:

830 S LIMESTONE
LEXINGTON, KY
40536-0284

Practice Phone: 859-323-5823
Practice Fax: 859-323-1119

1982683629 — DR. JANE SEYLER M.D.
Practice Location Address:

740 S LIMESTONE , UK HEALTHCARE ADOLESCENT MEDICINE
LEXINGTON, KY
40536-0284

Practice Phone: 859-323-5643
Practice Fax: 859-323-3795

1063492429 — HEATHER L. WHITESEL DPM
Practice Location Address:

740 S. LIMESTONE K-454
LEXINGTON, KY
40536-0284

Practice Phone: 859-323-1293
Practice Fax: 916-683-7290

1447220231 — DR. JANINE CORBITT JONES M.D.
Practice Location Address:

UNIVERSITY HEALTH SERVICE , KENTUCKY CLINIC B-163
LEXINGTON, KY
40536-0284

Practice Phone: 859-323-5823
Practice Fax: 859-323-1119

Directions to “UNIVERSITY OF KENTUCKY ” Practice Location

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