Individual
MICHAEL DEWAYNE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
16604 CHESTNUT GLEN PL, LOUISVILLE, KY 40245-6121
(502) 290-8123
(000) 000-0000
Mailing address
16604 CHESTNUT GLEN PL, LOUISVILLE, KY 40245-6121
(502) 290-8123
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3002380
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11037041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200131340A
—
IN
05
—
74471137
—
KY
Enumeration date
12/05/2006
Last updated
06/26/2025
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