Individual
ERIC ENDEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 SOUTH LIMESTONE, LEXINGTON, KY 40536-0001
(859) 257-3253
Mailing address
800 ROSE STREET, C215, LEXINGTON, KY 50436-0293
(859) 323-6346
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
26211
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64262116
—
KY
Enumeration date
05/08/2006
Last updated
11/29/2012
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