Individual
PENNIE CHRISTINE HASTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(270) 202-5768
Mailing address
234 S MIKE MERRITT RD, BETHELRIDGE, KY 42516-6709
(270) 202-5768
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3017283
KY
Other
Enumeration date
06/30/2022
Last updated
08/08/2022
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