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Contact Information

ANISSA HARGIS, PA-C
301 C MIDDLETON PARK PL
LOUISVILLE, KY40243
 Phone: 502-244-9858
 Fax: 502-244-9575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANISSA HARGIS · (Female)

NPI Number 1467450858
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/11/2005
Last updated 06/11/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • KY License # PA 353
  • KY License # PA353
  • KY Other 000000246339 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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