Michael Noble, MD, gave a check up at  Integrity Personal Physicians in Lexington, Ky., on Friday, Aug. 13, 2010.   The clinic serves a limited number of patients with a yearly flat fee. Photo by Pablo Alcala | Staff
Michael Noble, MD, gave a check up at Integrity Personal Physicians in Lexington, Ky., on Friday, Aug. 13, 2010. The clinic serves a limited number of patients with a yearly flat fee. Photo by Pablo Alcala | Staff
Michael Noble, MD, gave a check up at Integrity Personal Physicians in Lexington, Ky., on Friday, Aug. 13, 2010. The clinic serves a limited number of patients with a yearly flat fee. Photo by Pablo Alcala | Staff

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