Individual
KAITLYN HARGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2115 PALMS DR, LEXINGTON, KY 40504-3234
(859) 640-4568
Mailing address
2115 PALMS DR, LEXINGTON, KY 40504-3234
(859) 640-4568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008770
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YRP903M63111
ANTHEM BLUECROSS BLUESHIELD
KY
Enumeration date
11/02/2017
Last updated
10/05/2023
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