Individual
KATIE DIANNE HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 E CHESTNUT ST UNIT 690, LOUISVILLE, KY 40202-5706
(502) 588-4710
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4710
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4008835
KY
363LC0200X
Critical Care Medicine Nurse Practitioner
4008835
KY
Other
Enumeration date
09/13/2023
Last updated
10/09/2023
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