Individual
KAYLA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 WINDSOR PATH, GEORGETOWN, KY 40324-9617
(859) 263-5140
Mailing address
101 WINDSOR PATH, GEORGETOWN, KY 40324-9617
(859) 263-5140
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
AT1612
KY
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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