Connor Dedeker is a student in an organized health care education training program in Lexington, KY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Connor Dedeker NPI is 1487304796. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
740 SOUTH LIMESTONE E300E
LEXINGTON, KY
ZIP 40536-284
Phone: (859) 257-5097
Fax: (859) 257-5096
The NPI 1487304796 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/28/2022 and was last updated on 3/28/2022.