Healthcare Provider Details
I. General information
NPI: 1093210601
Provider Name (Legal Business Name): LINDSAY HUNT HOCKENSMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/26/2018
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
165 NATCHEZ TRACE AVE
BOWLING GREEN KY
42103-7940
US
IV. Provider business mailing address
201 PARK ST
BOWLING GREEN KY
42101-1708
US
V. Phone/Fax
- Phone: 270-782-7800
- Fax: 270-843-0779
- Phone: 270-782-7800
- Fax: 270-843-0779
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 2023-00900 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | TP162 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: