Commonwealth of Kentucky
Organization Active NPI Medical Physician Assistant · Lexington, KY
NPI 1972054443 · NPPES record last updated Oct 20, 2016
Key facts
- NPI
- 1972054443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Legal business name
- COMMONWEALTH OF KENTUCKY
- Practice address
- 1350 Bull Lea Rd
Lexington, KY 40511-1247 - Phone
- (859) 246-8000
- Fax
- (859) 246-8043
- NPI assigned
- Oct 20, 2016
- Organization subpart
- No
Authorized official
- Name
- Carrie Rudzik
- Title
- Cfo
- Phone
- (859) 246-8204
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- West Liberty Elementary
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant |
363AM0700X | Yes |
Addresses
Primary practice location
1350 Bull Lea Rd
Lexington, KY 40511-1247
Mailing address
1350 Bull Lea Rd
Lexington, KY 40511-1247
Phone (859) 246-8000
Other names
- ESH Physician Assistant Group
Other providers in Lexington, KY
- Commonwealth Neurology Services, P.S.C.
- Commonwealth of Kentucky
- Commonwealth of Kentucky
- Commonwealth of Kentucky
- Commonwealth of Kentucky
- Commonwealth Orthopaedic Surgeons PSC
- Commonwealth Pain Associates PLLC
- Commonwealth Pain Associates, PLLC
- Commonwealth Pediatrics, PSC
- Commonwealth Plastic Surgery, PLLC
All providers in Lexington, KY · Medical Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.