OrganizationActive
Memorial Hospital, Inc.
NPI 1902208267 · Pediatrics Physician · Manchester, KY
Provider details
- NPI number
- 1902208267
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Connie Farmer, Billing Manager(606) 598-5104
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
94 Marie Langdon Dr
Suite 1
Manchester, KY 40962-6353
Phone: (606) 599-0396
Fax: (606) 599-0586
Street-level locationGet directions
Mailing address
509 Memorial Dr
Manchester, KY 40962-6195
Other names (DBA / former)
- Doing business as
- Manchester Pediatrics
- Doing business as
- Manchester Pediatrics
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.