Organization
KENTUCKY MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN THOMAS HANCOCK APRN (NURSE PRACTITIONER)
(270) 256-5165
Entity
Organization
Contact information
Practice address
1297 THOMPSON DR, BEAVER DAM, KY 42320-9177
(270) 256-5165
Mailing address
PO BOX 331, HARTFORD, KY 42347-0331
(270) 256-5165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
05/12/2026
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