Provider Demographics
NPI:1871646455
Name:HANDY, LUKE ANTHONY
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:ANTHONY
Last Name:HANDY
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:LUKE
Other - Middle Name:ANTHONY
Other - Last Name:HANDY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:114 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:HILL CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67642-1722
Mailing Address - Country:US
Mailing Address - Phone:785-421-2191
Mailing Address - Fax:
Practice Address - Street 1:114 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:HILL CITY
Practice Address - State:KS
Practice Address - Zip Code:67642-1722
Practice Address - Country:US
Practice Address - Phone:785-421-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS441230207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201207140BBMedicaid
NY02377851Medicaid