Individual
KRISTEN RENA HARGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
369 MULBERRY DR, LEXINGTON, KY 40509-1008
(859) 310-0791
Mailing address
369 MULBERRY DR, LEXINGTON, KY 40509-1008
(859) 310-0791
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024374041
—
KY
Enumeration date
04/19/2022
Last updated
04/19/2022
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