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NPI Code Detail

MEDICARE: MRS. KAREN M. HILLENMEYER P.A.-C.

MEDICARE: MRS. KAREN M. HILLENMEYER P.A.-C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantPA051KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CJ2601OTHERKYRAILROAD MEDICARE
3CN8331OTHERKYRAILROAD MEDICARE
4CJ7805OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992702310
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN M. HILLENMEYER P.A.-C.
Provider Business Mailing Address
First Line : PO BOX 936
Second Line :
City : LONDON
State : KY
Zip : 40743-0936
Country : US
Telephone Number :
Fax Number : 606-330-7825
Provider Business Practice Location Address
First Line : 160 N EAGLE CREEK DR STE 201
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2125
Country : US
Telephone Number : 859-967-5520
Fax Number : 859-964-5444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 08/25/2021

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Directions to “ MRS. KAREN M. HILLENMEYER P.A.-C.” Practice Location

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