Individual
KARA GRACE HIBBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
220 WESTWOOD ST, GLASGOW, KY 42141-1028
(270) 651-3499
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012003
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012003
APRN LICENSE
KY
Enumeration date
01/23/2018
Last updated
11/13/2019
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