1316355902 NPI number — LEXINGTON PAIN & WELLNESS CENTER PSC

Table of content: DR. HAYLEY ROSE POWERS MD, PHD (NPI 1982497707)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316355902 NPI number — LEXINGTON PAIN & WELLNESS CENTER PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEXINGTON PAIN & WELLNESS CENTER PSC
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:
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:
1316355902
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
190 W LOWRY LN STE 140
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:
40503-3024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-254-5001
Provider Business Mailing Address Fax Number:
859-224-8204

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
190 W LOWRY LN STE 140
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:
40503-3024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-254-5001
Provider Business Practice Location Address Fax Number:
859-224-8204
Provider Enumeration Date:
07/27/2014

Additional Information

Authorized Official

Authorized Official Last Name:
BARRETT
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
859-254-5001

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  5436 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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