Henning Family Practice, Llc | |
124 W 3rd St Hardinsburg KY 40143-2624 | |
(270) 580-4050 | |
(270) 580-4051 |
Full Name | Henning Family Practice, Llc |
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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 |
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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 |
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Provider Enumeration Date | 08/09/2021 |
Last Update Date | 08/09/2021 |
Medicare PECOS PAC ID | 2466845268 |
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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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134513559 PECOS PAC ID: 8729399951 Enrollment ID: I20150615001977 |
Provider Name | Claire Elizabeth Knott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740840149 PECOS PAC ID: 2567793730 Enrollment ID: I20191021000284 |
Ack Healthcare Management Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 83 Ballpark Rd, Hardinsburg, KY 40143 Phone: 270-580-4778 Fax: 270-580-4779 |