Organization · NPI-2
Henderson Birth And Wellness, PLLC
Clinic/Center · Henderson, KY
NPI number1851021083
StatusActive
Last updated in NPPESNov 12, 2024
Details
- NPI
- 1851021083
- Entity type
- Organization (NPI-2)
- Legal business name
- Henderson Birth And Wellness, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 11, 2022
- Certification date
- Nov 12, 2024
- Last updated
- Nov 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Henderson Family Care (Doing Business As)
Practice location
319 8th St Ste CHenderson, KY 42420-2963
Phone 270-830-3056 · Fax 270-830-3058
Mailing address
319 8th St Ste CHenderson, KY 42420-2963
Phone 270-830-3056 · Fax 270-830-3058
Authorized official
Ashley Durham
Owner/Provider
2705779333
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