Individual
KATIE ELLEN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1070 SMITH GROVE RD, SCOTTSVILLE, KY 42164-9444
(270) 239-6024
(270) 239-6099
Mailing address
3112B HIGH RIDGE DR, LEXINGTON, KY 40517-4052
(270) 589-0929
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
3017750
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3017750
KBN
KY
Enumeration date
05/27/2022
Last updated
05/08/2025
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