Individual
PATRICK K HYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9217 US HIGHWAY 42, PROSPECT, KY 40059-8858
(502) 228-1312
(502) 228-5541
Mailing address
PO BOX 950293, LOUISVILLE, KY 40295-0293
(888) 987-1875
(405) 609-1491
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32278
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1160588
PASSPORT
KY
05
—
64322787
—
KY
Enumeration date
01/16/2006
Last updated
12/21/2023
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