Individual
DR. KELLY MICHAEL HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST, ROOM C2A01, LOUISVILLE, KY 40202-1675
(502) 852-1735
(502) 852-3762
Mailing address
530 S JACKSON ST, ROOM C2A01, LOUISVILLE, KY 40202-1675
(502) 852-1735
(502) 852-3762
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47147
KY
Other
Enumeration date
04/26/2010
Last updated
03/20/2015
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