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Individual

DR. KRISTY K. MENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1162 LEXINGTON RD, GEORGETOWN, KY 40324-9330
(502) 863-6426
Mailing address
507 GENERAL JOHN PAYNE BLVD, GEORGETOWN, KY 40324-8666
(502) 863-5108

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28149
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000049846
ANTHEM BLUE CROSS
KY
01
1200216
UNITED HEALTH CARE
KY
01
4516906
AETNA
KY
05
64281496
KY
Enumeration date
08/31/2006
Last updated
04/14/2021
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