Hafendorfer, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

13908 Issued in KY

Legal business name

HAFENDORFER, PLLC

Doing business as

Kenneth A Hafendorfer MD

Practice address

10629 Henning Way
6
Louisville, KY 40241-2085

Phone

(502) 412-2992

Fax

(502) 412-6326

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Franchesca G Downey

Title

Office Manager

Phone

(502) 412-2992

Specialties & licenses 1

Addresses

Other names 1

• Kenneth A Hafendorfer MD Doing business as

Locations

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881896710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10629 HENNING WAY",
            "address_2": "6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412085",
            "telephone_number": "502-412-2992",
            "fax_number": "502-412-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10629 HENNING WAY",
            "address_2": "6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412085",
            "telephone_number": "502-412-2992",
            "fax_number": "502-412-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAFENDORFER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "FRANCHESCA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-412-2992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "13908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth A Hafendorfer MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terence J Hadley, M.D.
• Mark Tye Haeberle
• Meredith Haedtler
• Kathryn Lynn Haendiges, PSY.D.
• Julie Hafendorfer, R.N
• Chloe Ruth Haffley, PMHNP
• Thomas L Haffner, LMFT
• Brooke Hafling
• Amanda Marie Hafner, PA-C
• Hagan Health LLC

• Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.