| Kyle J Legrand, DO | |
|
2156 Chamber Center Dr, Lakeside Park, KY 41017-1669 | |
| (859) 341-6255 | |
| (859) 547-1197 |
| Full Name | Kyle J Legrand |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 2156 Chamber Center Dr, Lakeside Park, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972820280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34.010312 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 04492 (Kentucky) | Secondary |
| 208M00000X | Hospitalist | 02008615A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Florence | Florence, KY | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| West Chester Hospital | West chester, OH | Hospital |
| Drake Center Inc | Cincinnati, OH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 803 |
| Medone Long-term Acute Care Llc | 0143756171 | 21 |
| 24 On Physicians Pc | 5698688141 | 277 |
| 24 On Physicians Pc | 5698688141 | 277 |
| Summit Medical Group Inc | 2163326240 | 803 |
| University Of Cincinnati Physicians Company Llc | 2264344480 | 1494 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679522346 PECOS PAC ID: 5698688141 Enrollment ID: O20061012000513 |
| Entity Name | The Christ Hospital Health Network Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477867208 PECOS PAC ID: 9931388246 Enrollment ID: O20180202001601 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle J Legrand, DO 2156 Chamber Center Dr, Lakeside Park, KY 41017-1669 Ph: (859) 341-6255 | Kyle J Legrand, DO 2156 Chamber Center Dr, Lakeside Park, KY 41017-1669 Ph: (859) 341-6255 |