Individual
DR. LENARD ROY DURRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
200 MEDICAL CENTER DR STE 2D, HAZARD, KY 41701-9422
(606) 487-7951
(606) 487-7952
Mailing address
100 AIRPORT GARDENS RD STE 311, HAZARD, KY 41701-9529
(606) 439-6978
(606) 439-6927
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G5008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DA71
BCBS PROVIDER NUMBER
TX
05
—
135482109
—
TX
01
—
2142031
AETNA PROVIDER NO
—
01
—
604327000
DEPT OF LABOR PROV NO
—
01
—
MDG5008
WC PROVIDER NUMBER
TX
Enumeration date
03/22/2006
Last updated
06/12/2020
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