Provider Demographics
NPI:1881128213
Name:HEALTH CONNECTIONS DIRECT PRIMARY CARE, PLLC
Entity type:Organization
Organization Name:HEALTH CONNECTIONS DIRECT PRIMARY CARE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:HUYCK
Authorized Official - Last Name:VILLACIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-905-0707
Mailing Address - Street 1:3001 MAGNOLIA CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3306
Mailing Address - Country:US
Mailing Address - Phone:859-905-0707
Mailing Address - Fax:
Practice Address - Street 1:75 CAVALIER BLVD STE 211
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-3957
Practice Address - Country:US
Practice Address - Phone:859-905-0707
Practice Address - Fax:859-203-0853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2024-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty