Provider Demographics
NPI:1629042049
Name:HENDRIX, NANCY WENDY (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:WENDY
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:HENDRIX
Other - Last Name:HOLLENBECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:UK OBGYN MATERNAL FETAL MEDICINE
Mailing Address - Street 2:800 ROSE STREET, C358
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0293
Mailing Address - Country:US
Mailing Address - Phone:859-323-0005
Mailing Address - Fax:859-323-0790
Practice Address - Street 1:UK OBGYN MATERNAL FETAL MEDICINE
Practice Address - Street 2:800 ROSE STREET, C358
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-323-0005
Practice Address - Fax:859-323-0790
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19970207V00000X, 207VM0101X
GA040686207V00000X, 207VM0101X
NJ25MA08363300207V00000X, 207VM0101X
PAMD437235207V00000X, 207VM0101X
MDD74010207VM0101X
DCMD040494207VM0101X
KY48513207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC199706Medicaid
SCG680871804Medicare ID - Type Unspecified
SC199706Medicaid