| Methodist Family Medicine Of Henderson North Elm | |
|
2000 N Elm St Ste 1a Henderson KY 42420-2385 | |
| (270) 631-2412 | |
| (270) 827-7475 |
| Full Name | Methodist Family Medicine Of Henderson North Elm |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 N Elm St Ste 1a, Henderson, Kentucky |
| Authorized Official Name and Position | Benny J Nolen (CEO) |
| Authorized Official Contact | 2708277501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Methodist Family Medicine Of Henderson North Elm Po Box 638706 Cincinnati OH 45263-8706 Ph: (270) 827-7558 | Methodist Family Medicine Of Henderson North Elm 2000 N Elm St Ste 1a Henderson KY 42420-2385 Ph: (270) 631-2412 |
| NPI Number | 1578997482 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 12/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578997482 | NPI | - | NPPES |
| 7100384560 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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