Evan Conder, MD
Student in an Organized Health Care Education/Training Program in Lexington, KY. Individual provider (NPI-1).
NPI number1164225629
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1164225629
- Entity type
- Individual (NPI-1)
- Name
- Evan Conder
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2025
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
900 S Limestone Ctw 304Lexington, KY 40536-0293
Phone 859-323-2834
Mailing address
900 S Limestone Ctw 304Lexington, KY 40536-0293
Phone 859-323-2834
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