Jonathon Ennis, PAC

NPI 1497267637 · on the registry since 2017

Practice

Address: 805 Bardstown Rd
Springfield, KY 40069
Phone: (859) 481-7113
Fax: (859) 481-7114
Organisation at this address: Walgreen Co
Family Wellcare Clinic, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Additional practice sites

120 Executive Park, Louisville, KY
100 Tates Dr, Springfield, KY
100 Tates Dr, Springfield, KY

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky