M2K INTERNAL MEDICINE, PSC
Osteopathic Medicine at Eagle Creek Dr, Lexington, KY

License number
Kentucky 700168
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MRS. JANE G. WINTERTON
Title: ADMINISTRATOR
Phone: (859) 233-1490
Address
Address
120 N Eagle Creek Dr SUITE 321, Lexington, KY 40509
National Provider ID: 1073778031
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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M2K INTERNAL MEDICINE, P.S.C

120 N Eagle Crk Dr, Lexington, KY 40509

Status:
Inactive
Registration:
Jan 29, 2007
State ID:
0656116
Business type:
Kentucky Professional Services Corp
Incorporators:
Charles G. Grigsby (President),Chalres G. Grigsby, M.d (Incorporator)
Agent:
Dr. Charles G. Grigsby, M.d,120 N Eagle Crk Dr, Lexington, KY 40509 (Physical)

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