Provider Demographics
NPI:1639198393
Name:HILLENMEYER, WENDY HOLMES (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:HOLMES
Last Name:HILLENMEYER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:SUITE A- 440
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-313-2963
Mailing Address - Fax:859-313-3541
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:SUITE A- 440
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-313-2963
Practice Address - Fax:859-313-3541
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2009-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVPA1071363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVP01840Medicare UPIN