DR. CHARLES KENNY MAFFET (NPI# 1033320619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033320619 |
| Entity Type | Individual |
| Full Name | DR. CHARLES KENNY MAFFET |
| Credential | M.D. |
| Practice Address |
105 Diecks Dr Elizabethtown KY 42701-2444 |
| Mailing Address |
1117 Cave Run Ln Elizabethtown KY 42701-5541 |
| Practice Telephone | 2707376300 |
| Mailing Telephone | 2708727105 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
15586 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 4444056018002 | 05 |
| Street Address |
105 DIECKS DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760789101 | Sabrina Michelle Wilkerson | Nurse Practitioner | 105 Diecks Dr, Elizabethtown, KY 42701-2444 | 2011-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346472750 | Louisville Palliative Care LLC | Internal Medicine | 3625 Fern Valley Road, Louisville, KY 40219-1916 | 2009-08-18 |
| 1912129552 | Staci A Mandrola | Internal Medicine | 7504 Westport Rd, Louisville, KY 40222-4108 | 2007-05-03 |
| 1104879105 | Hospice Care Plus, Inc | Internal Medicine | 208 Kidd Dr, Berea, KY 40403-9593 | 2006-05-18 |
| 1306344395 | Community Medical Associates, Inc. | Internal Medicine | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2018-01-25 |
| 1033557848 | Kimberly Ellen Leake | Internal Medicine | 550 S Jackson St Fl 3, Louisville, KY 40202 | 2013-06-13 |
| 1366742256 | Hospice of Southern Kentucky Inc | Internal Medicine | 5872 Scottsville Rd, Bowling Green, KY 42104-7853 | 2010-10-26 |
| 1134453582 | Partners In Palliative Care Pllc | Internal Medicine | 7504 Westport Rd, Louisville, KY 40222-4108 | 2009-10-01 |
| 1285814400 | Melanie Tirronen Farrell | Internal Medicine | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2007-11-05 |
| 1881628857 | Lori Anne Earnshaw | Internal Medicine | 3532 Ephraim Mcdowell Dr, Louisville, KY 40205-3224 | 2006-07-10 |
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.