Susan Hart

NPI #1245769280 in Madisonville, Kentucky

Provider Information

NPI Number: 1245769280
Entity Type: Individual
Name: Susan Hart
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 5, 2017
Last Updated: Jun 5, 2017

Practice Location

Address: 200 CLINIC DRIVE, THIRD NORTH
City: Madisonville
State: Kentucky
ZIP Code: 42431
Phone: (270) 824-3515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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