Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaumont Integrated Medicine PSC

Organization Adult Medicine Physician · NPI 1619377454

Beaumont Integrated Medicine PSC is an Adult Medicine Physician in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2014.

Licensed in
KY
In the registry since
2014
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

989 Governors Ln
Lexington, KY 40513-1173
Phone: (859) 559-4272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 36483 (KY)

Record details

NPI number1619377454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Vanhoose — Administrator · (859) 559-0804
NPI enumeratedAugust 29, 2014
Last updated in NPPESSeptember 16, 2015
Mailing address7980 Solution Ctr, Chicago, IL 60677-7009

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