Individual
EDWIN HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2609 NEW HARTFORD RD STE 3, OWENSBORO, KY 42303-1316
(812) 476-7111
(812) 476-7117
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016618
KY
363LP2300X
Primary Care Nurse Practitioner
3016618
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300061509
—
IN
05
—
7100767930
—
KY
Enumeration date
09/02/2021
Last updated
06/09/2022
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