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Contact Information

KELLY HART, PA-C
103 FINANCIAL DRIVE
SUITE 100
ELIZABETHTOWN, KY42701
 Phone: 270-769-0110
 Fax: 270-765-6953
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELLY HART · (Female)

NPI # 1043648116
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/28/2013
Last updated 10/28/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • KY License # TC241
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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