Provider Demographics
NPI:1568699965
Name:UNIVERSITY OF KENTUCKY
Entity Type:Organization
Organization Name:UNIVERSITY OF KENTUCKY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROLF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-564-4545
Mailing Address - Street 1:100 SOWER BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-8272
Mailing Address - Country:US
Mailing Address - Phone:502-564-4545
Mailing Address - Fax:502-564-1699
Practice Address - Street 1:100 SOWER BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-8272
Practice Address - Country:US
Practice Address - Phone:502-564-4545
Practice Address - Fax:502-564-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY33422282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital