Khue N Tran, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25019 Issued in KY

Practice address

207 West Main Street
Hodgenville, KY 42748

Phone

(270) 358-3829

Fax

(270) 358-8350

NPI assigned

Sep 20, 2006

Last updated

Feb 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1013015361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WEST MAIN STREET",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "42748",
            "telephone_number": "270-358-3829",
            "fax_number": "270-358-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WEST MAIN STREET",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "42748",
            "telephone_number": "270-358-3829",
            "fax_number": "270-358-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KHUE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "25019",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "25019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64250194",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Grace Smith, LCSW
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• Li Tan, PHARMD
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• W I N G S Professional Consulting
• Walgreen Co (Walgreens #17478)
• Katherine Walsh
• Kelly J Weddle, LMFT
• Denise Whiteman, PT

• Internal Medicine Physician in Hodgenville, KY
• Providers in Hodgenville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.