COVENANT ONCOLOGY & HEMATOLOGY LLC NPI 1659823573

NPI Information

  • NPI: 1659823573
  • Provider Name: COVENANT ONCOLOGY & HEMATOLOGY LLC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 617 CHAMBERLIN AVE
    FRANKFORT, KY
    ZIP 40601
  • Phone: (502) 699-2285

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NPI Details

COVENANT ONCOLOGY & HEMATOLOGY LLC is a hematology and oncology internal medicine in Frankfort, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. COVENANT ONCOLOGY & HEMATOLOGY LLC NPI is 1659823573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

617 CHAMBERLIN AVE
FRANKFORT, KY
ZIP 40601-220
Phone: (502) 699-2285
Fax: (502) 699-2284

The provider's authorized official is Rickey Cee Myhand .
The authorized official title is Owner and has the following contact phone number (210) 464-1625.

The enumeration date for this NPI number is 10/26/2016 and was last updated on 12/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207RH0003XInternal MedicineHematology & OncologyKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100812980MEDICAIDKENTUCKY
27100433200MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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