| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1609995265 | TRIMBLE | ATITAYA | TAHN | 217 ELM TREE LN | LEXINGTON | KY | 405072117 | |
| 1588934517 | WOODS | BEVERLY | BETH | 217 ELM TREE LN | LEXINGTON | KY | 405072117 | |
| 1710264809 | YADEN | CAROL | 217 ELM TREE LN | LEXINGTON | KY | 405072117 |