| Andre N. Fernandez | |
|
501 Darby Creek Rd Suite 21 Lexington KY 40509-1604 | |
| (859) 263-9305 | |
| (859) 264-1169 |
| Full Name | Andre N. Fernandez |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 501 Darby Creek Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Andre N. Fernandez (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8592639305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andre N. Fernandez 501 Darby Creek Rd Suite 21 Lexington KY 40509-1604 Ph: (859) 263-9305 | Andre N. Fernandez 501 Darby Creek Rd Suite 21 Lexington KY 40509-1604 Ph: (859) 263-9305 |
| NPI Number | 1013320837 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 06/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013320837 | NPI | - | NPPES |
| 64325673 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 32567 (Kentucky) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 32567 (Kentucky) | Primary |
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