Organization
AMERICAN HEALTH NETWORK OF KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R BENSON DO (INTERIM CEO/MEDICAL DIRECTOR)
(317) 580-6304
Entity
Organization
Contact information
Practice address
3900 KRESGE WAY STE 44, LOUISVILLE, KY 40207-4681
(812) 945-5633
Mailing address
10689 N PENNSYLVANIA ST STE 200, CARMEL, IN 46280-1099
(317) 580-6372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/10/2020
Last updated
05/23/2022
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