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

Commonwealth of Kentucky

Organization Neurology Physician · NPI 1750552857

Commonwealth of Kentucky is a Neurology Physician in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.

Licensed in
KY
In the registry since
2008
Specialties on file
6
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Practice location Address checks out

1350 Bull Lea Rd
Lexington, KY 40511-1247
Phone: (859) 246-8000
Fax: (859) 246-8043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X (KY)
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X
General Practice Physician Taxonomy 208D00000X
Physician Assistant Taxonomy 363A00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1750552857
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommonwealth of Kentucky
Authorized official Jennifer Moore — Assistant Director · (502) 782-6117
Other names Eastern State Hospital
NPI enumeratedMarch 17, 2008
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address1350 Bull Lea Rd, Lexington, KY 40511-1247

Other providers in Lexington