Individual
HALLEY AZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7607 DIXIE HWY, FLORENCE, KY 41042-2644
(859) 655-6100
(859) 282-8611
Mailing address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4057039
KY
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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