BEAUMONT INTEGRATED MEDICINE PSC NPI 1619377454

NPI Information

BEAUMONT INTEGRATED MEDICINE PSC is an adult medicine family medicine in Lexington, KY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. BEAUMONT INTEGRATED MEDICINE PSC NPI is 1619377454. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

989 GOVERNORS LN
LEXINGTON, KY
ZIP 40513-173
Phone: (859) 559-4272

The provider's authorized official is Daniel Vanhoose .
The authorized official title is Administrator and has the following contact phone number (859) 559-0804.

The CLIA number assigned to this NPI record is 18D1045638 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2014 and was last updated on 9/16/2015.

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:

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