| Mended Wings Inc | |
|
611 W Poplar St Ste C2 Elizabethtown KY 42701-2483 | |
| (859) 351-0023 | |
| Not Available |
| Full Name | Mended Wings Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 611 W Poplar St Ste C2, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Jorin Arnold (OWNER) |
| Authorized Official Contact | 8593510023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mended Wings Inc 112 Leatherwood Ln Nicholasville KY 40356-8515 Ph: (859) 351-0023 | Mended Wings Inc 611 W Poplar St Ste C2 Elizabethtown KY 42701-2483 Ph: (859) 351-0023 |
| NPI Number | 1629812623 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629812623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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