Provider Demographics
NPI:1225111768
Name:LINDSAY, DENNICE (ARNP)
Entity Type:Individual
Prefix:
First Name:DENNICE
Middle Name:
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4071 TATES CREEK CENTRE DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3062
Mailing Address - Country:US
Mailing Address - Phone:859-260-4385
Mailing Address - Fax:859-260-4386
Practice Address - Street 1:5130 HINKLEVILLE RD
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-9132
Practice Address - Country:US
Practice Address - Phone:270-450-1191
Practice Address - Fax:270-450-0710
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2610P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78026101Medicaid
KY0974503Medicare ID - Type UnspecifiedMARION CLINIC PIN
KYS78377Medicare UPIN
KY0974404Medicare ID - Type UnspecifiedSMITHLAND CLINIC PIN
KY78026101Medicaid