NPI | 1881896710 |
---|---|
Doing Business As | KENNETH A HAFENDORFER MD |
Entity Type | Organization |
Authorized Contact | FRANCHESCA G DOWNEY Office Manager 502-412-2992 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KY 13908) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2020-08-22 |