Hines, Bren

Hines, Bren is an individual health care provider with primary practice located at 210 E Gray St Ste 900 , Louisville KY 40202-3905. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hines, Bren can be contacted via phone (502) 584-7525.

Contact Information

Primary practice address
210 E Gray St Ste 900 Louisville KY 40202-3905
Phone: (502) 584-7525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC877 Kentucky
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X

Profile Details

NPI number 1205303625
LBN Legal business name Hines, Bren
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Oct 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205303625 NPPES
Kentucky Other TC877 KY LICENSE
Kentucky Other PA12298 KY LICENSE

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