Individual
DR. WAYNE HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 FAIRWAY ST, BOWLING GREEN, KY 42103-2477
(270) 796-3910
(270) 842-7177
Mailing address
PO BOX 3240, BOWLING GREEN, KY 42102-3240
(270) 796-3910
(270) 842-7177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21076
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044746
ANTHEM
KY
01
—
260003553
RAILROAD MEDICARE
KY
01
—
50006916
PASSPORT
KY
05
—
64210768
—
KY
Enumeration date
06/09/2005
Last updated
11/26/2012
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