Provider Demographics
NPI:1073131306
Name:UNIVERSITY OF KENTUCKY
Entity Type:Organization
Organization Name:UNIVERSITY OF KENTUCKY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF PAYER ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:DEBORD
Authorized Official - Last Name:YOUNCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-257-9521
Mailing Address - Street 1:740 S LIMESTONE
Mailing Address - Street 2:RM L-01
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40356-2411
Mailing Address - Country:US
Mailing Address - Phone:859-323-6016
Mailing Address - Fax:859-257-1773
Practice Address - Street 1:740 S LIMESTONE
Practice Address - Street 2:RM K-126
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40356-2411
Practice Address - Country:US
Practice Address - Phone:859-323-6016
Practice Address - Fax:859-257-1773
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF KENTUCKY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies