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Contact Information

COVENANT ONCOLOGY & HEMATOLOGY LLC
617 CHAMBERLIN AVE
FRANKFORT, KY40601-4220
 Phone: 502-699-2285
 Fax: 502-699-2284
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for COVENANT ONCOLOGY & HEMATOLOGY LLC

NPI Number 1659823573
LBN Legal business name COVENANT ONCOLOGY & HEMATOLOGY LLC
Authorized official RICKEY MYHAND - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2016
Last updated 12/27/2022 - About 3 years ago
Identifiers
KY Medicaid 7100433200
KY Medicaid 7100812980
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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