HAFENDORFER, PLLC


Address: 10629 Henning Way, 6, Louisville, KY 40241-2085
Phone: 5024122992

HAFENDORFER, PLLC (NPI# 1881896710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 13908 KY Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Kenneth A Hafendorfer MD Doing Business As Name - Organization

Office Location

Street Address 10629 HENNING WAY
6
City LOUISVILLE
State KY
Zip Code 40241-2085

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

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Competitor

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City LOUISVILLE
Zip Code 40241

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Dataset Information

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.

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