Healthcare Provider Details

I. General information

NPI: 1629042049
Provider Name (Legal Business Name): NANCY WENDY HENDRIX MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY HENDRIX HOLLENBECK

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 01/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UK OBGYN MATERNAL FETAL MEDICINE 800 ROSE STREET, C358
LEXINGTON KY
40536-0293
US

IV. Provider business mailing address

UK OBGYN MATERNAL FETAL MEDICINE 800 ROSE STREET, C358
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-0005
  • Fax: 859-323-0790
Mailing address:
  • Phone: 859-323-0005
  • Fax: 859-323-0790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number19970
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number040686
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA08363300
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD437235
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD437235
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number040686
License Number StateGA
# 7
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number19970
License Number StateSC
# 8
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number25MA08363300
License Number StateNJ
# 9
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberD74010
License Number StateMD
# 10
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD040494
License Number StateDC
# 11
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number48513
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: