| Andover Family Medicine | |
|
2801 Palumbo Dr Suite 200 Lexington KY 40509-1317 | |
| (859) 268-0254 | |
| (859) 263-0159 |
| Full Name | Andover Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2801 Palumbo Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Kirsten Lea Cooper (PHYSICIAN) |
| Authorized Official Contact | 8592680254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andover Family Medicine Po Box 55168 Lexington KY 40555-5168 Ph: (859) 268-0254 | Andover Family Medicine 2801 Palumbo Dr Suite 200 Lexington KY 40509-1317 Ph: (859) 268-0254 |
| NPI Number | 1801951462 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801951462 | NPI | - | NPPES |
| 1224232 | Other | KY | CHA |
| 000000371547 | Other | KY | ANTHEM BCBS |
| 2075768 | Other | KY | FIRST HEALTH |
| 2075768 | Other | KY | CCN |
| 5276688 | Other | KY | AETNA |
| 65944324 | Medicaid | KY | |
| 84146 | Other | KY | WASAU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33166 (Kentucky) | Primary |
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