Waldman Plastic Surgery Center

NPI 1548307085 - Specialist - 174400000X

NPI Details
NPI 1548307085
Enumeration Date 02/01/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name S. RANDOLPH S. RANDOLPH
Position M.D.
Phone (859) 254-5665
Fax (859) 281-6825
Practice Location
125 E MAXWELL ST
SUITE 303
LEXINGTON KY, 40508-2678, US
Phone (859) 254-5665
Fax (859) 281-6825
Business Location
125 E MAXWELL ST
SUITE 303
LEXINGTON KY, 40508-2678, US
Phone (859) 254-5665
Fax (859) 281-6825
Toxanomy
Taxonomy Code 174400000X
License State Kentucky
License Number 19124
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According to our database, Waldman Plastic Surgery Center NPI is 1548307085, taxonomy code is 174400000X and license number is 19124, license state is located at Kentucky. Waldman Plastic Surgery Center physically located at 125 E Maxwell St, Lexington KY, 40508-2678. NPI Number 1033115704 has the healthcare provider type.

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1548307085 NPI number is provided on an as is basis without warranty of any kind. 1548307085 is maintained by the National Plan & Provider Enumeration System. The contents of Waldman Plastic Surgery Center are for informational purposes only.