Individual
KIZZY CHAUNTA HURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
801 W BROADWAY STE 4, LOUISVILLE, KY 40202-2236
(502) 416-8783
(502) 305-6578
Mailing address
3608 WOODRUFF AVE, LOUISVILLE, KY 40215-1830
(502) 356-6392
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
1152844
KY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1152844
KY
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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