Individual
ANDREA HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1882
(502) 568-6616
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 568-6616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100426350
—
KY
Enumeration date
07/18/2016
Last updated
11/18/2021
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