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Individual

KIM ANN HARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2211 MAYFAIR DR STE 102, OWENSBORO, KY 42301-4569
(270) 688-1351
(270) 688-3342
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71004326A
IN
363LF0000X
Family Nurse Practitioner
Primary
3010109
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100240560
KY
Enumeration date
02/12/2013
Last updated
06/06/2024
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