| Henning Family Practice, Llc | |
|
124 W 3rd St Hardinsburg KY 40143-2624 | |
| (270) 580-4050 | |
| (270) 580-4051 |
| Full Name | Henning Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 124 W 3rd St, Hardinsburg, Kentucky |
| Authorized Official Name and Position | Alicia C Henning (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 2705804050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henning Family Practice, Llc 124 W 3rd St Hardinsburg KY 40143-2624 Ph: (270) 580-4050 | Henning Family Practice, Llc 124 W 3rd St Hardinsburg KY 40143-2624 Ph: (270) 580-4050 |
| NPI Number | 1831864289 |
|---|---|
| Provider Enumeration Date | 08/09/2021 |
| Last Update Date | 08/09/2021 |
| Medicare PECOS PAC ID | 2466845268 |
|---|---|
| Medicare Enrollment ID | O20220131000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831864289 | NPI | - | NPPES |
| 1134513559 | Other | INDIVIDUAL NPI | |
| 7100405900 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alicia C Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134513559 PECOS PAC ID: 8729399951 Enrollment ID: I20150615001977 |
| Provider Name | Claire Elizabeth Knott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740840149 PECOS PAC ID: 2567793730 Enrollment ID: I20191021000284 |
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