Organization
COVENANT ONCOLOGY & HEMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKEY CEE MYHAND M.D. (OWNER)
(210) 464-1625
Entity
Organization
Contact information
Practice address
617 CHAMBERLIN AVE, FRANKFORT, KY 40601-4220
(502) 699-2285
(502) 699-2284
Mailing address
617 CHAMBERLIN AVE, FRANKFORT, KY 40601-4220
(502) 699-2285
(502) 699-2284
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
KY
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100433200
—
KY
05
—
7100812980
—
KY
Enumeration date
10/26/2016
Last updated
12/27/2022
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