Dr MARY PAULINE FENWICK NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2005.
KENTUCKYONE HEALTH MEDICAL GROUP INC
110 S SALEM DR
BARDSTOWN
KY
400041761
Tel: 5023505081
| Npi | 1699818443 |
| Pac Id | 5597770982 |
| Professional Enrollment Id | I20060207000010 |
| Last Name | FENWICK |
| First Name | MARY |
| Middle Name | PAULINE |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | KENTUCKYONE HEALTH MEDICAL GROUP INC |
| Group Practice Pac Id | 8820993702 |
| Number Of Group Practice Members | 491 |
| Line 1 Street Address | 110 S SALEM DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BARDSTOWN |
| State | KY |
| Zip Code | 400041761 |
| Phone Number | 5023505081 |
| Hospital Affiliation Ccn 1 | 180025 |
| Hospital Affiliation Lbn 1 | FLAGET MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 180012 |
| Hospital Affiliation Lbn 2 | HARDIN MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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