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Individual

ROBERT G MCHENDRIX III

Active
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Individual

ROBERT G MCHENDRIX III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00125
KY
213ER0200X
Radiology Podiatrist
K0125
KY
213ES0131X
Foot Surgery Podiatrist
00125
KY
332B00000X
Durable Medical Equipment & Medical Supplies
K0125
KY
335E00000X
Prosthetic/Orthotic Supplier
K0125
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000033272
ANTHEM BCBS
KY
05
0245354
OH
01
0247710001
MEDICARE DME
KY
01
27-80420
UNITED HEALTHCARE
KY
01
406480106
RAILROAD MEDICARE UHC
KY
05
80001258
KY
01
958792
AETNA
KY
01
K0125
HUMANA/CHOICE CARE
KY
Enumeration date
07/01/2005
Last updated
07/03/2013
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