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NPI Code Detail

MEDICARE: VICKIE C. LOWE, M.D., PSC

MEDICARE: VICKIE C. LOWE, M.D., PSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician27635KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3250006816OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11048984OTHERKYPASSPORT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000050299OTHERKYANTHEM
52432324000OTHERKYPASSPORT ADVANTAGE
6163857500OTHERKYDEPARTMENT OF LABOR

General Provider Information

NPI Number : 1487978334
Entity Type Code : Organization
Provider Name (Legal Business Name) : VICKIE C. LOWE, M.D., PSC
Provider Business Mailing Address
First Line : 134 HEARTLAND DR
Second Line :
City : ELIZABETHTOWN
State : KY
Zip : 42701-2778
Country : US
Telephone Number : 270-769-3100
Fax Number : 270-234-0753
Provider Business Practice Location Address
First Line : 134 HEARTLAND DR
Second Line :
City : ELIZABETHTOWN
State : KY
Zip : 42701-2778
Country : US
Telephone Number : 270-769-3100
Fax Number : 270-234-0753
Authorized Official
Title or Position : OWNER
Name : DR. VICKIE CAROL LOWE
Credential : M.D.
Telephone Number : 270-769-3100
Provider Enumeration Date : 03/22/2010
Last Update Date : 06/25/2010

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