Individual
FRED PARK HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 HARRODSBURG RD, STE C215, LEXINGTON, KY 40504-3751
(859) 258-6450
(859) 258-6499
Mailing address
1401 HARRODSBURG RD, STE C215, LEXINGTON, KY 40504-3751
(859) 258-6450
(859) 258-6499
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19048
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64190481
—
KY
Enumeration date
09/30/2006
Last updated
03/28/2013
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