| Kenneth A Hafendorfer Md | |
|
10629 Henning Way 6 Louisville KY 40241-2085 | |
| (502) 412-2992 | |
| (502) 412-6326 |
| Full Name | Kenneth A Hafendorfer Md |
|---|---|
| Speciality | Clinic/center |
| Location | 10629 Henning Way, Louisville, Kentucky |
| Authorized Official Name and Position | Franchesca G Downey (OFFICE MANAGER) |
| Authorized Official Contact | 5024122992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A Hafendorfer Md 10629 Henning Way 6 Louisville KY 40241-2085 Ph: (502) 412-2992 | Kenneth A Hafendorfer Md 10629 Henning Way 6 Louisville KY 40241-2085 Ph: (502) 412-2992 |
| NPI Number | 1881896710 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881896710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 13908 (Kentucky) | Primary |
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