Andover Family Medicine

LBN: Andover Family Medicine
Andover Family Medicine is an health care organization with primary practice located at 2801 Palumbo Dr Suite 200, Lexington KY 40509-1317. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Andover Family Medicine can be contacted via phone (859) 268-0254, or through Cooper, Kirsten Lea via phone (859) 268-0254.

Contact Information

Primary practice address
2801 Palumbo Dr Suite 200 Lexington KY 40509-1317
Fax: (859) 263-0159
Website:
Authorized official contact:
Name: Cooper, Kirsten Lea Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33166 Kentucky

Profile Details

NPI number 1801951462
LBN Legal business name Andover Family Medicine
DBA Doing business as
Authorized official Cooper, Kirsten Lea Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801951462 NPPES
Kentucky Other 1224232 CHA
Kentucky Other 000000371547 CHA
Kentucky Other 2075768 CHA
Kentucky Other 2075768 CHA
Kentucky Other 5276688 CHA
Kentucky MEDICAID 65944324 CHA
Kentucky Other 84146 CHA

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