| 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 (Licence: KY 13908) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |