Provider Demographics
NPI:1386857407
Name:UNIVERSITY OF KENTUCKY MEDICAL CENTER
Entity Type:Organization
Organization Name:UNIVERSITY OF KENTUCKY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN. STAFF OFFICER II
Authorized Official - Prefix:MS
Authorized Official - First Name:DIJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIMOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-323-8105
Mailing Address - Street 1:800 ROSE ST
Mailing Address - Street 2:306 COMBS BUILDING
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-323-9812
Mailing Address - Fax:859-257-9608
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:306 COMBS BUILDING
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-9812
Practice Address - Fax:859-257-9608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Multi-Specialty