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Contact Information

MARY KYNDRA N HAGAN
1912 TERRANCE POINTE
OWENSBORO, KY42303
 Phone: 727-340-2772
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for MARY KYNDRA N HAGAN · (Female)

NPI Number 1336888676
Status Active
Credentials
Entity Individual
Enumeration date 06/03/2022
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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