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Individual

GLENN A. HENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1215 OLD MAIN ST, HARTFORD, KY 42347-1619
(270) 730-5344
(270) 298-9506
Mailing address
PO BOX 148, HARTFORD, KY 42347-0148
(270) 504-1910
(270) 298-3824

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00263
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000198311
BCBS PROVIDER NUMBER
01
00263
LICENSE
KY
05
80000136
KY
Enumeration date
09/16/2006
Last updated
10/22/2024
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