Unknown Individual – Family Medicine Physician, NPI 1669422291
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Virginia Avenue, Wallsend, Pineville, Bell County, Kentucky, 40977, United States
PINEVILLE, KY 409771600
Phone: (606) 337-7002
Fax: (606) 337-3393
Type: Location
870, Corporate Drive, Pasadena, Indian Hills, Lexington, Fayette County, Kentucky, 40503, United States
STE. 400
LEXINGTON, KY 405035416
Phone: (859) 277-9436
Fax: (859) 277-1765
Type: Mailing
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40977)
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