| Doctor Name: | WENDY MICHELLE ENNEKING |
| NPI Number: | 1477999035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3008053 |
| Business Practice Address: | 129 S Winter St Midway, KY - 403475002 |
| Business Phone Number: | 8598464445 |
| Business Fax Number: | |
| Mailing Address: | 129 S Winter St, MIDWAY |
| State: | KY |
| Postal Code: | 403475002 |
| Phone Number: | 8598464445 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2013 |
| NPI Last Update Date: | 05/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 3008053 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |