NPI 1396334835

Premise Health of West Virginia Medical, Medical Corporation

Organisation Clinic/Center Hebron, KY

Practice location

Address: 3675 N Bend Rd, Hebron, KY 41048-8465
Phone: (859) 334-7587
Mailing address: 5500 Maryland Way STE 120, Brentwood, TN 37027-4993

Authorised official

Name: Jon Leizman
Title: President
Phone: (216) 479-9063

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Kentucky →

Registry record

NPI: 1396334835
Entity type: Organization
NPI issued: 11 Jan 2021
Record last updated: 15 Aug 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.