Michelle Hill Boren, MSCCC | |
105 Heritage Park Way, Bardstown, KY 40004 | |
(502) 819-1391 | |
(502) 348-1789 |
Full Name | Michelle Hill Boren |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 105 Heritage Park Way, Bardstown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215086053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | KY-2346 (Kentucky) | Secondary |
235Z00000X | Speech-language Pathologist | 140274 (Kentucky) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770054686 PECOS PAC ID: 6507832573 Enrollment ID: O20190211002009 |
Mailing Address | Practice Location Address |
---|---|
Michelle Hill Boren, MSCCC 875 Pennsylvania Ave, Bardstown, KY 40004-2529 Ph: (502) 349-6961 | Michelle Hill Boren, MSCCC 105 Heritage Park Way, Bardstown, KY 40004 Ph: (502) 819-1391 |
Ms. Wynna Gail Cook, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 120 Life Care Way, Bardstown, KY 40004 Phone: 502-348-4220 | |
Mr. Matthew Harris, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 101 Isaac Greer Ct, Bardstown, KY 40004 Phone: 502-349-6214 | |
Trevor Wayne Dunn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 120 Life Care Way, Bardstown, KY 40004 Phone: 502-348-4220 | |
Emily Hanna, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 115 S Salem Dr, Bardstown, KY 40004 Phone: 502-331-5478 | |
Sarah K Riggs, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 704 Bloomfield Rd, Bardstown, KY 40004 Phone: 502-331-5478 Fax: 502-348-9825 | |
Anna Reynolds Green, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5804 Loretto Rd, Bardstown, KY 40004 Phone: 502-827-3572 | |
Peggy A. Schlesinger, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 104 Welch Ln, Bardstown, KY 40004 Phone: 502-836-4414 |