CHEVY CHASE PRIMARY CARE LLC NPI 1104459502

NPI Information

CHEVY CHASE PRIMARY CARE LLC is a primary care clinic center in Lexington, KY. CHEVY CHASE PRIMARY CARE LLC NPI is 1104459502. The provider is registered as an organization entity type.

The provider's business location address is:

330 ROMANY RD
LEXINGTON, KY
ZIP 40502-404
Phone: (859) 269-7337
Fax: (859) 335-0157

The provider's authorized official is James C Owen .
The authorized official title is Owner and has the following contact phone number (859) 269-7337.

The CLIA number assigned to this NPI record is 18D0664229 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/14/2020 and was last updated on 2/14/2020.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.