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Contact Information

KEVIN T HARTLEY
7000 DIXIE HWY
FLORENCE, KY41042-2010
 Phone: 859-282-2024
 Fax: 859-282-6747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEVIN T HARTLEY · (Male)

NPI # 1396375952
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2020
Last updated 11/05/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 3014140
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
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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