Individual
DR. KEVIN LEE MCCHORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 HOUSTON ROAD, BUILDING #2/1ST FLOOR, FLORENCE, KY 41042
(859) 283-3613
(859) 283-3712
Mailing address
5500 MARYLAND WAY STE 200, BRENTWOOD, TN 37027-4973
(844) 407-7557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31649
KY
207Q00000X
Family Medicine Physician
35072610
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9379701
GROUP MEDICARE PTAN
OH
01
—
DO6570
GROUP MEDICARE RAILROAD PTAN
OH
01
—
P00697138
INDIVIDUAL MEDICARE RAILROAD PTAN
OH
Enumeration date
06/26/2006
Last updated
07/22/2019
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