Kentucky Medical Care

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KENTUCKY MEDICAL CARE

Practice address

1297 Thompson Dr
Beaver Dam, KY 42320-9177

Phone

(270) 291-5165

NPI assigned

Apr 3, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Edwin Thomas Hancock, APRNNPI 1255009379

Title

Nurse Practitioner

Phone

(270) 256-5165

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin Hancock, APRN

  • Family Nurse Practitioner
  • Beaver Dam, KY
  • NPI 1255009379
  NPD Authorized official

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1134060080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470331",
            "telephone_number": "270-291-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 THOMPSON DR",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423209177",
            "telephone_number": "270-291-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "270-256-5165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela R Hudnall, APRN
• Kasey Hutto, OTR/L
• J.Dylan James, DPT
• Bridget Colette Johnson, ARNP
• Kelsey Diane Johnson, D.M.D.
• Tariq K Malik, M.D.
• Susan B Matthews, ARNP
• Brian Mayes, PHARM.D, BCACP
• Samantha Mayes, PT
• Brittney McCarthy

• Nurse Practitioner in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.