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Individual

ANNA L HARNED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2525 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9120
(270) 287-2020
(270) 259-5660
Mailing address
2525 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9120
(270) 287-2020
(270) 259-5660

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1375DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000351970
ANTHEM BCBS
KY
01
1375DT
OD LICENSE NUMBER
KY
05
77013753
KY
01
P00198146
RR MEDICARE
KY
Enumeration date
09/01/2005
Last updated
07/21/2008
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