Healthcare Provider Details

I. General information

NPI: 1114596095
Provider Name (Legal Business Name): DOLPHIN HILLS FAMILY HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 N MULBERRY ST
ELIZABETHTOWN KY
42701-1848
US

IV. Provider business mailing address

189 S ANTELOPE CT
RINEYVILLE KY
40162-9696
US

V. Phone/Fax

Practice location:
  • Phone: 270-268-5036
  • Fax:
Mailing address:
  • Phone: 270-268-5036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MELISSA ANNE BAUMGARDNER
Title or Position: OWNER
Credential: APRN
Phone: 270-268-5036