Individual
MR. JEREMY D HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017
(859) 301-2018
(859) 301-2073
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-2018
(859) 301-2073
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
46852
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01084625A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
46852
KY
Other
Enumeration date
05/11/2010
Last updated
04/05/2021
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