Healthcare Provider Details

I. General information

NPI: 1114121159
Provider Name (Legal Business Name): EMHFL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 08/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 METKER TRAIL
STANFORD KY
40484
US

IV. Provider business mailing address

217 S 3RD ST
DANVILLE KY
40422-1823
US

V. Phone/Fax

Practice location:
  • Phone: 606-365-2187
  • Fax:
Mailing address:
  • Phone: 859-239-1000
  • Fax: 859-239-6785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANIEL MCKAY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 859-239-2410