Individual
MS. KATHY K HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.F.N.P.
Contact information
Practice address
130 STONECREST RD, SUITE 106, SHELBYVILLE, KY 40065-8126
(502) 647-1000
(502) 647-1006
Mailing address
130 STONECREST RD, SUITE 106, SHELBYVILLE, KY 40065-8126
(502) 647-1000
(502) 647-1006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2350P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800673
—
KY
Enumeration date
05/11/2006
Last updated
07/09/2007
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