Brock, Regina Lynn

Brock, Regina Lynn is an individual health care provider with primary practice located at 858 Eastern Byp , Richmond KY 40475-2512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brock, Regina Lynn can be contacted via phone (859) 626-0072.

Contact Information

Primary practice address
858 Eastern Byp Richmond KY 40475-2512
Phone: (859) 626-0072
Fax: (859) 626-9684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34004 Kentucky

Profile Details

NPI number 1699887398
LBN Legal business name Brock, Regina Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699887398 NPPES
Kentucky Other 34204 MED LIC (KY BOARD OF MED)
Kentucky MEDICAID 64050768 MED LIC (KY BOARD OF MED)

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