Provider Demographics
NPI:1285369579
Name:DYNAMIC CLINICAL SOLUTIONS
Entity type:Organization
Organization Name:DYNAMIC CLINICAL SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-699-1626
Mailing Address - Street 1:804 CHEVY CHASE PL STE 108
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2180
Mailing Address - Country:US
Mailing Address - Phone:270-699-1626
Mailing Address - Fax:
Practice Address - Street 1:804 CHEVY CHASE PL STE 108
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2180
Practice Address - Country:US
Practice Address - Phone:859-308-3676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty