Provider Demographics
NPI:1881813061
Name:KEHRER FAMILY MEDICINE, PSC
Entity type:Organization
Organization Name:KEHRER FAMILY MEDICINE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:KEHRER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-647-1000
Mailing Address - Street 1:130 STONECREST RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-8126
Mailing Address - Country:US
Mailing Address - Phone:502-647-1000
Mailing Address - Fax:502-647-1006
Practice Address - Street 1:130 STONECREST RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-8126
Practice Address - Country:US
Practice Address - Phone:502-647-1000
Practice Address - Fax:502-647-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64081482Medicaid
KY0924901Medicare ID - Type Unspecified
KYH33438Medicare UPIN