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Organization
METHODIST HEALTH, INC.
Active
Organization
METHODIST HEALTH, INC.
Active
Other names
Methodist Family Medicine Klutey Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY NOLEN (PRESIDENT AND CEO)
(270) 827-7400
Entity
Organization
Contact information
Practice address
471 KLUTEY PARK PLAZA DR, HENDERSON, KY 42420-3347
(270) 830-6100
(270) 826-3089
Mailing address
PO BOX 638706, CINCINNATI, OH 45263-8706
(270) 270-7558
(270) 827-7530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
01/23/2019
Last updated
07/23/2019
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