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Individual

DR. CAROLINE L HENDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1370 W 5TH ST, SUITE 2, LONDON, KY 40741-1615
(606) 877-1101
(606) 878-6356
Mailing address
1370 W 5TH ST, SUITE 2, LONDON, KY 40741-1615
(606) 877-1101
(606) 878-6356

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1363DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000064776
BCBS GROUP #
KY
01
000000202838
BCBS
KY
01
1267150001
PALMETTO
KY
01
5919
P10
KY
01
611344538
TAX ID #
KY
05
77013639
KY
05
77903276
KY
Enumeration date
05/16/2006
Last updated
07/30/2014
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