Emergency Medicine Physician Credentialing
Welcome to Lexington Clinic Emergency Medicine
We are excited to have you on board and become a part of our exceptional team!
1. Please download all of the PDF forms listed below by clicking on the form names.
2. Complete the forms and return them via email to email@example.com or fax to our secure fax number at (859) 258-6122.
Thank you for your prompt attention to this important step.
If you have any questions, please contact Lora Neace at (859) 258-4508.
- Cover Letter, please read before beginning your forms.
- KAPER Form updated 9-16-2023
- Lexington Clinic Credentialing Forms
- Payer Applications
- Saint Joseph Emergency Medicine Credentialing Forms
- MAGMUTUAL New Physician Application