COMMONWEALTH OF KENTUCKY NPI 1972054443

NPI Information

COMMONWEALTH OF KENTUCKY is a medical physician assistant in Lexington, KY. COMMONWEALTH OF KENTUCKY NPI is 1972054443. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Esh Physician Assistant Group.

The provider's business location address is:

1350 BULL LEA RD
LEXINGTON, KY
ZIP 40511-247
Phone: (859) 246-8000
Fax: (859) 246-8043

The provider's authorized official is Carrie Rudzik .
The authorized official title is Cfo and has the following contact phone number (859) 246-8204.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/20/2016.

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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