# METHODIST HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Methodist Family Medicine Klutey Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215491311
- **Authorized official:** MR. BENNY NOLEN (PRESIDENT AND CEO)
- **Authorized official phone:** (270) 827-7400

## Contact information

- **Practice address:** 471 KLUTEY PARK PLAZA DR, HENDERSON, KY 42420-3347
- **Practice address phone:** (270) 830-6100
- **Practice address fax:** (270) 826-3089
- **Mailing address:** PO BOX 638706, CINCINNATI, OH 45263-8706
- **Mailing address phone:** (270) 270-7558
- **Mailing address fax:** (270) 827-7530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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