Organization
ANDRE N. FERNANDEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE N. FERNANDEZ M.D. (PHYSICIAN/OWNER)
(859) 263-9305
Entity
Organization
Contact information
Practice address
501 DARBY CREEK RD, SUITE 21, LEXINGTON, KY 40509-1604
(859) 263-9305
(859) 264-1169
Mailing address
501 DARBY CREEK RD, SUITE 21, LEXINGTON, KY 40509-1604
(859) 263-9305
(859) 264-1169
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32567
KY
2084P0804X
Child & Adolescent Psychiatry Physician
32567
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64325673
—
KY
Enumeration date
06/09/2014
Last updated
06/09/2014
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