Healthcare Provider Details

I. General information

NPI: 1801113071
Provider Name (Legal Business Name): LESTER S DUPLECHAN MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 03/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 THOMAS MORE PKWY STE 190
CRESTVIEW HILLS KY
41017-5465
US

IV. Provider business mailing address

350 THOMAS MORE PKWY STE 190
CRESTVIEW HILLS KY
41017-5465
US

V. Phone/Fax

Practice location:
  • Phone: 859-341-4842
  • Fax: 859-341-4845
Mailing address:
  • Phone: 859-341-4842
  • Fax: 513-793-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LESTER S DUPLECHAN
Title or Position: OWNER
Credential: MD
Phone: 859-341-4842