2ND CHANCE NPI 1215348214

NPI Information

2ND CHANCE is an addiction medicine internal medicine in Lexington, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. 2ND CHANCE NPI is 1215348214. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1420 N BROADWAY
LEXINGTON, KY
ZIP 40505-155
Phone: (859) 368-9874
Fax: (859) 368-8822

The provider's authorized official is Deborah Farmer .
The authorized official title is Mgr and has the following contact phone number (859) 368-8820.

The CLIA number assigned to this NPI record is 18D2212741 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/13/2014 and was last updated on 5/3/2019.

Taxonomy Codes

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Other Identifiers

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