Individual
KAY HAZELETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-2209
(606) 218-7509
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2209
(606) 218-7509
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22584
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180044273
PALMETTO GBA
—
05
—
64225840
—
KY
Enumeration date
08/12/2005
Last updated
07/20/2022
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