Charles Kenny Maffet, M.D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

15586 Issued in KY

Practice address

105 Diecks Dr
Elizabethtown, KY 42701-2444

Phone

(270) 737-6300

NPI assigned

May 24, 2007

Last updated

Dec 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1033320619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 CAVE RUN LN",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015541",
            "telephone_number": "270-872-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012444",
            "telephone_number": "270-737-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFFET",
        "first_name": "CHARLES",
        "middle_name": "KENNY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "15586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4444056018002",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hospice and Palliative Medicine (Internal Medicine) Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.