NPI 1134515083

Justin Clay Penticuff

Practitioner Urology Physician Lexington, KY

Practice location

Address: 810 Cheryl Ln, Lexington, KY 40504-2318
Phone: (859) 749-0248

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 55255 (KY)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1134515083
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Apr 2015
Record last updated: 6 Jul 2021

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.