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C. DOUGLAS HENSLEY NPI 1144405770


NPI Information

NPI: 1144405770
Provider Name: C. DOUGLAS HENSLEY

Doing Business As: LOUISVILLE SKIN AND CANCER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
305B MIDDLETOWN PARK PL
LOUISVILLE, KY
ZIP 40243
Phone: (502) 254-2300
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C. DOUGLAS HENSLEY is a clinic center in Louisville, KY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). C. DOUGLAS HENSLEY NPI is 1144405770. The provider is registered as an organization entity type.
The provider Is Doing Business As Louisville Skin And Cancer.

The provider's business location address is:

305B MIDDLETOWN PARK PL
LOUISVILLE, KY
ZIP 40243-514
Phone: (502) 254-2300
Fax: (502) 254-7087

The provider's authorized official is Charles Douglas Hensley .
The authorized official title is Owner and has the following contact phone number (502) 254-2300.

The enumeration date for this NPI number is 1/2/2008 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center28377KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E76172MEDICARE UPINKENTUCKY
20292001MEDICARE PINKENTUCKY
32920MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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