Provider Demographics
NPI:1538810809
Name:HEALING HANDS HEALTH CENTER
Entity type:Organization
Organization Name:HEALING HANDS HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:606-545-3863
Mailing Address - Street 1:1321 CUMBERLAND FALLS HWY STE 103
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2861
Mailing Address - Country:US
Mailing Address - Phone:606-215-3144
Mailing Address - Fax:606-467-2210
Practice Address - Street 1:1321 CUMBERLAND FALLS HWY STE 103
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2861
Practice Address - Country:US
Practice Address - Phone:606-215-3144
Practice Address - Fax:606-467-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty