Individual
MARY KATHERINE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 EXECUTIVE PARK, LOUISVILLE, KY 40207-4201
(502) 855-7200
(502) 855-7201
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016762
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30007620
—
IN
05
—
7100910040
—
KY
Enumeration date
07/17/2023
Last updated
02/13/2024
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