MACKEY CLINIC LLC NPI 1386738284

NPI Information

NPI: 1386738284
Provider Name: MACKEY CLINIC LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
405 SOUTHLAND DR
LEXINGTON, KY
ZIP 40503
Phone: (859) 523-0101
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MACKEY CLINIC LLC is a general practice in Lexington, KY. MACKEY CLINIC LLC NPI is 1386738284. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

405 SOUTHLAND DR
LEXINGTON, KY
ZIP 40503
Phone: (859) 523-0101
Fax: (859) 813-5251

The provider's authorized official is Linda L Mackey .
The authorized official title is Owner and has the following contact phone number (859) 523-0101.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 5/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		02452	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	64024524	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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