# KENTUCKY MEDICAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134060080
- **Authorized official:** MR. EDWIN THOMAS HANCOCK APRN (NURSE PRACTITIONER)
- **Authorized official phone:** (270) 256-5165

## Contact information

- **Practice address:** 1297 THOMPSON DR, BEAVER DAM, KY 42320-9177
- **Practice address phone:** (270) 291-5165
- **Mailing address:** PO BOX 331, HARTFORD, KY 42347-0331
- **Mailing address phone:** (270) 291-5165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2026
- **Last updated:** 05/26/2026