Individual
MRS. TARYN RENEE HILGEFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 852-5689
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004105
OH
363A00000X
Physician Assistant
Primary
TC194
KY
Other
Enumeration date
11/18/2014
Last updated
05/17/2022
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