Individual provider · Type 1 NPI

Paxton Wade Peacock, MD, MBA

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1073363669 Active

Practice location

800 Rose Street, Anesthesiology N202
Lexington, KY 40536-0293

Fax (859) 323-1080

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073363669

Paxton Wade Peacock, MD, MBA's National Provider Identifier is 1073363669, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Mar 25, 2024.