NPI 1003562810
Imac Medical of Kentucky Psc
Practice location
- Address
- 2537 Larkin Rd, Lexington, KY 40503-3201
- Phone
- (859) 545-0043
- Mailing address
- 1605 Westgate Cir STE 100, Brentwood, TN 37027-8396
Authorised official
- Name
- Bailee Boyett
- Title
- Credentialing Specialist
- Phone
- (615) 678-0024
Registered specialties (2)
Pain Management Registered Nurse
Primary
Physical Therapist
Registry record
- NPI
- 1003562810
- Entity type
- Organization
- NPI issued
- 2 Mar 2022
- Record last updated
- 11 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.