Individual
DR. ANDRE NEVILLE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 DARBY CREEK RD STE 21, LEXINGTON, KY 40509-1668
(859) 263-9305
Mailing address
501 DARBY CREEK RD, SUITE 21, LEXINGTON, KY 40509-1604
(859) 263-9305
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32567
KY
2084P0804X
Child & Adolescent Psychiatry Physician
32567
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041840
ANTHEM BLUE CROSS BLUE SH
KY
05
—
64325673
—
KY
Enumeration date
11/07/2006
Last updated
06/11/2014
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