1730311028 NPI number — LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT

Table of content: NHUTHUY THI CAN MD (NPI 1063711638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730311028 NPI number — LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730311028
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
650 NEWTOWN PIKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40508-1113
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-252-2371
Provider Business Mailing Address Fax Number:
859-288-2359

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 E MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40502-1670
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-381-4100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2009

Additional Information

Authorized Official

Authorized Official Last Name:
AMON
Authorized Official First Name:
RODGER
Authorized Official Middle Name:
Authorized Official Title or Position:
CHEIF OPERATING OFFICER
Authorized Official Telephone Number:
859-252-2371

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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