Individual
STEPHANIE A HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5925 LOUISVILLE RD, BOWLING GREEN, KY 42101-8473
(270) 320-4458
Mailing address
5925 LOUISVILLE RD, BOWLING GREEN, KY 42101-8473
(270) 320-4458
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-0807210
—
KY
Enumeration date
04/07/2022
Last updated
04/07/2022
About Stedi
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