Organization
HENNING FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA C HENNING FNP (OWNER/NURSE PRACTITIONER)
(270) 580-4050
Entity
Organization
Contact information
Practice address
124 W 3RD ST, HARDINSBURG, KY 40143-2624
(270) 580-4050
(270) 580-4051
Mailing address
124 W 3RD ST, HARDINSBURG, KY 40143-2624
(270) 580-4050
(270) 580-4051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134513559
INDIVIDUAL NPI
—
05
—
7100405900
—
KY
Enumeration date
08/09/2021
Last updated
08/09/2021
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