Individual
MRS. KAREN M. HILLENMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
160 N EAGLE CREEK DR STE 201, LEXINGTON, KY 40509-2125
(859) 967-5520
(859) 964-5444
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA051
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100428190
—
KY
01
—
CJ2601
RAILROAD MEDICARE
KY
01
—
CJ7805
RAILROAD MEDICARE
KY
01
—
CN8331
RAILROAD MEDICARE
KY
Enumeration date
06/30/2005
Last updated
08/25/2021
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