Individual
KENNETH WESLEY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1742 SAYLES BLVD, ABILENE, TX 79605-6032
(325) 665-6736
(325) 701-4044
Mailing address
1742 SAYLES BLVD, ABILENE, TX 79605-6032
(325) 665-6736
(325) 701-4044
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
147670
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013257
—
TX
Enumeration date
07/07/2006
Last updated
03/04/2020
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