Individual
KENNETH LEROY HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1338 WESTEN ST, BOWLING GREEN, KY 42104-3365
(270) 392-5531
(270) 599-0399
Mailing address
1338 WESTEN ST, BOWLING GREEN, KY 42104-3365
(270) 392-5531
(270) 599-0399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253534
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100403710
—
KY
Enumeration date
12/07/2017
Last updated
09/27/2018
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