Provider Demographics
NPI:1760632624
Name:KENTUCKY MEDICAL SERVICES FOUNDATION
Entity Type:Organization
Organization Name:KENTUCKY MEDICAL SERVICES FOUNDATION
Other - Org Name:UNIVERISTY OF KENTUCKY DEPARTMENT OF INTERNAL MEDICINE
Other - Org Type:Other Name
Authorized Official - Title/Position:EVPHO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KARPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-257-7910
Mailing Address - Street 1:2333 ALUMNI PARK PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-257-7910
Mailing Address - Fax:
Practice Address - Street 1:740 S LIMESTONE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-257-7910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KENTUCKY MEDICAL SERVICES FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-26
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65912255Medicaid