Kelly Hart, PA-C

NPI #1043648116 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1043648116
Entity Type: Individual
Name: Kelly Hart, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 28, 2013
Last Updated: Oct 28, 2013

Practice Location

Address: 103 FINANCIAL DRIVE
Address 2: SUITE 100
City: Elizabethtown
State: Kentucky
ZIP Code: 42701
Phone: (270) 769-0110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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