Individual
MRS. KELLSY HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10802 WAYCROSS AVE, LOUISVILLE, KY 40229-2346
(502) 930-6892
Mailing address
10802 WAYCROSS AVE, LOUISVILLE, KY 40229-2346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
01/11/2023
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