Individual
DR. COREY MICHAEL HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
330 WALLER AVE, STE. 100, LEXINGTON, KY 40504-2931
(859) 254-7000
(859) 255-4381
Mailing address
330 WALLER AVE, STE. 100, LEXINGTON, KY 40504-2931
(859) 254-7000
(859) 255-4381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
920
SC
207R00000X
Internal Medicine Physician
LL920
SC
207RR0500X
Rheumatology Physician
Primary
03745
KY
207RR0500X
Rheumatology Physician
920
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100304620
—
KY
Enumeration date
10/11/2006
Last updated
12/02/2014
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