Individual
KIMBERLY RENE GAYHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
145 CITIZENS LANE, SUITE B, HAZARD, KY 41701
(606) 439-1300
(606) 439-1400
Mailing address
PO BOX 1988, HAZARD, KY 41702
(606) 439-1300
(606) 439-1400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4915P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100005420
—
KY
Enumeration date
10/03/2006
Last updated
01/24/2008
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