Individual
KEVIN THOMAS HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 DIXIE HWY, FLORENCE, KY 41042-2010
(859) 282-2024
(859) 282-6747
Mailing address
7000 DIXIE HWY, FLORENCE, KY 41042-2010
(859) 282-2024
(859) 282-6747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3014140
KY
363LF0000X
Family Nurse Practitioner
Primary
3014140
KY
Other
Enumeration date
01/23/2020
Last updated
11/05/2024
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