Individual
MRS. KIMBERLY A HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2416 REGENCY ROAD, LEXINGTON, KY 40503-2925
(859) 278-1316
(859) 685-0340
Mailing address
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 278-1316
(859) 685-0340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA913
KY
363AM0700X
Medical Physician Assistant
TC649
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000586592
ANTHEM
KY
Enumeration date
11/03/2005
Last updated
09/02/2010
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