Individual
CAROLYN HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
321 RINGGOLD RD, SOMERSET, KY 42503-3900
(606) 451-1936
(270) 651-1805
Mailing address
321 RINGGOLD RD, SOMERSET, KY 42503-3900
(606) 451-1936
(270) 651-1805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5451P
KY
363LA2200X
Adult Health Nurse Practitioner
5451P
KY
363LF0000X
Family Nurse Practitioner
Primary
3005451
KY
363LP2300X
Primary Care Nurse Practitioner
5451P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100042070
—
KY
01
—
K095672
MEDICARE NUMBER
KY
Enumeration date
01/02/2008
Last updated
02/21/2020
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