Kerry Lane Hendershot in Lubbock - Family Medicine

Kerry Lane Hendershot - NPI 1700849544

Kerry Lane Hendershot is a Family Medicine in Lubbock, Texas. Kerry Lane Hendershot practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kerry Lane Hendershot is 1700849544. The last update date is 2008-09-16.

Kerry Lane Hendershot's current location address is 7601 Quaker Ave, Lubbock, Texas. You can contact this provider via phone number 8067259653 and fax number 8067259650. The mailing address for Kerry Lane Hendershot is 7601 Quaker Ave, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kerry Lane Hendershot
Address 7601 Quaker Ave, Lubbock, Texas
Phone Number 8067259653
Fax Number 8067259650
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1700849544
Provider Enumeration Date 2006-04-11
Last Updated Date 2008-09-16

Provider Mailing Address Detail

Address 7601 Quaker Ave
City Lubbock
State Texas (TX)
Post Code 79424
Phone Number 8067259653
Fax Number 8067259650

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No K3586
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
105375305 TX --

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FAQs about Kerry Lane Hendershot

What is the unique provider identifier assigned to Kerry Lane Hendershot?

The Kerry Lane Hendershot has been issued the NPI (National Provider Identifier) 1700849544 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Kerry Lane Hendershot?

The Kerry Lane Hendershot is physically situated at 7601 Quaker Ave, in the city of Lubbock, state of TX, with the postal code 79424.

What is Kerry Lane Hendershot's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kerry Lane Hendershot's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

When did Kerry Lane Hendershot receive its 1700849544 assignment?

The Kerry Lane Hendershot was assigned its 1700849544 on 2006-04-11, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Kerry Lane Hendershot most recently updated or revised?

The information pertaining to Kerry Lane Hendershot, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-16.

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