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Contact Information

LEE W RICKETTS II MD PLLC
1782 BRYAN STATION ROAD
LEXINGTON, KY40505
 Phone: 859-294-0077
 Fax: 859-294-0078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LEE W RICKETTS II MD PLLC

NPI # 1306020979
LBN Legal business name LEE W RICKETTS II MD PLLC
Authorized official LEE RICKETTS - (PHYSICIAN OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2007
Last updated 12/19/2007 - About 18 years ago
Identifiers
KY License # 30881
KY Medicaid 64308810
KY Other 000000308817 ANTHEM
KY Other 0791601 MEDICARE INDIVIDUAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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