Organization
KENTUCKY JOINT SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HARTOG (OWNER)
(502) 771-5432
Entity
Organization
Contact information
Practice address
4010 DUPONT CIR STE 310, LOUISVILLE, KY 40207-4834
(502) 771-5432
(502) 771-5430
Mailing address
4010 DUPONT CIR STE 310, LOUISVILLE, KY 40207-4834
(502) 771-5432
(502) 771-5430
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/15/2021
Last updated
07/21/2022
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