Individual
DEAN A. ECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 254-5701
(859) 367-7138
Mailing address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 254-5701
(859) 367-7138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22704
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042997
ANTHEM B/C & B/S UPIN
KY
01
—
1167804
CHA HEALTH
KY
05
—
64227044
—
KY
Enumeration date
07/12/2005
Last updated
01/30/2014
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