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

Centerwell Senior Primary Care Ky PSC

Organization Family Medicine Physician · NPI 1790492783

Centerwell Senior Primary Care Ky PSC is a Family Medicine Physician in Lexington, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
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

3101 Richmond Rd Ste 190
Lexington, KY 40509-1525
Phone: (859) 309-7613
Fax: (877) 722-0592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1790492783
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Ky PSC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care-Richmond Road; Centerwell Senior Primary Care-Richmond Road
NPI enumeratedOctober 31, 2022
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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