Individual
MISS STACY R HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 NEW HARTFORD RD, OWENSBORO, KY 42303
(270) 683-3720
(270) 686-7331
Mailing address
2801 NEW HARTFORD RD, OWENSBORO, KY 42303
(270) 683-3720
(270) 686-7331
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2819
CSA CERTIFICATION
KY
01
—
86924
CST CERTIFICATION
KY
Enumeration date
09/21/2006
Last updated
07/08/2007
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