NPI 1023865730
Promedeus Medical Group, LLC
Practice location
- Address
- 280 S Ashland Ave, Lexington, KY 40502-1728
- Phone
- (956) 497-4285
- Mailing address
- 3150 Custer Dr STE 101, Lexington, KY 40517-4010
Authorised official
- Name
- Jesus Tovar
- Title
- Member
- Phone
- (956) 497-4285
Registered specialties (2)
Family Medicine Physician
Primary
Nurse Practitioner
Registry record
- NPI
- 1023865730
- Entity type
- Organization
- NPI issued
- 1 May 2024
- Record last updated
- 1 May 2024
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.