HAFENDORFER, PLLC (NPI# 1881896710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881896710 |
| Entity Type | Organization |
| Organization Name | HAFENDORFER, PLLC |
| Other Organization Name | KENNETH A HAFENDORFER MD |
| Practice Address |
10629 Henning Way 6 Louisville KY 40241-2085 |
| Practice Telephone | 5024122992 |
| Practice Fax Number | 5024126326 |
| Mailing Telephone | 5024122992 |
| Mailing Fax Number | 5024126326 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. FRANCHESCA G DOWNEY (OFFICE MANAGER) |
| Authorized Official Telephone | 5024122992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 13908 | KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kenneth A Hafendorfer MD | Doing Business As Name - Organization |
| Street Address |
10629 HENNING WAY 6 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| 1366996449 | Ecare, P.s.c. | Clinic/Center | 9201 Linn Station Rd, Louisville, KY 40222-5726 | 2016-08-06 |
| 1386019495 | Advanced Diagnostic Fna Biopsy Clinic, LLC | Clinic/Center | 400 S. Mccaslin Blvd., Suite 213, Louisville, CO 80027 | 2015-12-01 |
| 1265606222 | Kort-kentucky Orthopedic Rehab Team | Clinic/Center | 3901 Dutchmans Ln Ste 104, Louisville, KY 40207-4726 | 2008-04-21 |
| 1144405770 | C. Douglas Hensley | Clinic/Center | 305b Middletown Park Pl, Louisville, KY 40243-2514 | 2008-01-02 |
| 1922124148 | Evans Chiropractic Psc | Clinic/Center | 3071 Breckenridge Ln, Louisville, KY 40220-2101 | 2007-03-21 |
| 1063561702 | Kentucky Easter Seal Society Inc | Clinic/Center | 9810 Bluegrass Parkway, Louisville, KY 40299 | 2007-01-10 |
| 1366941171 | Coal Creek Diagnostics, LLC | Clinic/Center | 315 W South Boulder Rd Ste 100, Louisville, CO 80027-1157 | 2018-02-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
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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.