Individual
STEPHANIE R HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
113 PORT LN, GILBERTSVILLE, KY 42044-8700
(270) 362-8257
(270) 362-2259
Mailing address
113 PORT LN, GILBERTSVILLE, KY 42044-8700
(270) 362-8257
(270) 362-2259
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18424
KY
282N00000X
General Acute Care Hospital
18424
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64184245
—
KY
Enumeration date
09/27/2005
Last updated
11/22/2010
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