Hendren And Lockett Pllc | |
107 Perry St Bloomfield KY 40008 | |
(502) 252-5081 | |
(502) 252-7211 |
Full Name | Hendren And Lockett Pllc |
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Speciality | Family Medicine |
Location | 107 Perry St, Bloomfield, Kentucky |
Authorized Official Name and Position | Robert D Hendren (DOCTOR PARTNER) |
Authorized Official Contact | 5022525081 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hendren And Lockett Pllc Po Box 400 Bloomfield KY 40008 Ph: (502) 252-5081 | Hendren And Lockett Pllc 107 Perry St Bloomfield KY 40008 Ph: (502) 252-5081 |
NPI Number | 1235295296 |
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Provider Enumeration Date | 12/27/2006 |
Last Update Date | 01/06/2021 |
Medicare PECOS PAC ID | 4688612203 |
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Medicare Enrollment ID | O20050422000720 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235295296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 16252 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 19893 (Kentucky) | Primary |
Provider Name | Lisa C Primm |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053507798 PECOS PAC ID: 4183704414 Enrollment ID: I20071227000594 |
Provider Name | Robert Hendren |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942259445 PECOS PAC ID: 8820131816 Enrollment ID: I20100503000791 |
Provider Name | Christy A Case |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790353183 PECOS PAC ID: 7416352661 Enrollment ID: I20210825003957 |