Individual
PAUL KEVIN HACKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4239 KATHERINE PLACE, LEXINGTON, KY 40515
(606) 424-4425
Mailing address
4239 KATHERINE PLACE, LEXINGTON, KY 40515
(606) 424-4425
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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