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NPI 1902834740

NPI 1902834740 : KEVIN ANDREW PEARCE MD : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1902834740
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    Entity Type          |    Individual 
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    Provider Name        |    KEVIN ANDREW PEARCE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/29/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    740 SOUTH LIMESTONE 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40536-0001
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    Country              |    US
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    Telephone            |    859-323-6711
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    138 LEADER AVE 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40508-3215
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    Country              |    US
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    Telephone            |    859-257-7910
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    Fax                  |    859-257-7899
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    34610
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    207QA0000X
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    Taxonomy Name        |    Adolescent Medicine (Family Medicine) Physician
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    License Number       |    34610
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    207QA0401X
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    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
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    License Number       |    34610
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    207QA0505X
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    Taxonomy Name        |    Adult Medicine Physician
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    License Number       |    34610
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    License Number State |    KY
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Taxonomy #5
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    34610
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    License Number State |    KY
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Taxonomy #6
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    Taxonomy Code        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
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    License Number       |    34610
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    License Number State |    KY
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