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NPI Verification

National Provider Identifier: 1568128957

2nd Chance

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

1420 N BROADWAY

LEXINGTON, KY 405053155

Phone: 859-368-8820

NPI Enumeration Date

November 10, 2021

NPI Number

1568128957

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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