Unknown Individual – Family Medicine Physician, NPI 1447288923
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
107 Metker Trl
Stanford, KY 404841049
Phone: (606) 365-8338
Fax: (606) 365-8142
Type: Location
Metker Trail, Stanford, Lincoln County, Kentucky, 40484, United States
STANFORD, KY 404841049
Phone: (606) 365-8338
Fax: (606) 365-8142
Type: Mailing
Wilcox Boulevard, Foxwood Heights, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37406, United States
CHATTANOOGA, TN 374111073
Phone: (423) 541-2073
Fax: (423) 541-2074
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40484)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KY | 85610 | Blood test, clotting time | 17 | 12 |
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