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Individual

MRS. CHRISTY O'BRYAN HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3101 PARISA DR, PADUCAH, KY 42003
(270) 444-8477
(270) 444-8479
Mailing address
3101 PARISA DR, PADUCAH, KY 42003-4584
(270) 444-8477
(270) 444-8479

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3003975
KY
363LF0000X
Family Nurse Practitioner
Primary
3003975
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100169820
KY
Enumeration date
04/11/2007
Last updated
08/08/2018
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