| Organization Name: | MACKEY CLINIC LLC |
| NPI Number: | 1386738284 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA MACKEY (OWNER) |
| Mailing Address: | 137 Cherrybark Dr. Lexington |
| State: | KY US |
| Postal Code: | 405031803 |
| Phone Number: | 8592780880 |
| Fax Number: | 8592790886 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 12/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 02452 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |