Provider Demographics
NPI:1043243942
Name:ARTHRITIS CENTER OF LEXINGTON
Entity Type:Organization
Organization Name:ARTHRITIS CENTER OF LEXINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:K
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-254-7000
Mailing Address - Street 1:330 WALLER AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2931
Mailing Address - Country:US
Mailing Address - Phone:859-254-7000
Mailing Address - Fax:859-255-4381
Practice Address - Street 1:330 WALLER AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2931
Practice Address - Country:US
Practice Address - Phone:859-254-7000
Practice Address - Fax:859-255-4381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100354330Medicaid
KY7100154430Medicaid
KY7100154430Medicaid