Clifford Lee Hazelwood
NPI #1689340374 in Hodgenville, Kentucky
Provider Information
- NPI Number
- 1689340374
- Entity Type
- Individual
- Name
- Clifford Lee Hazelwood
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Aug 21, 2021
- Last Updated
- Jan 6, 2023
Practice Location
- Address
- 4470 BARDSTOWN RD
- City
- Hodgenville
- State
- Kentucky
- ZIP Code
- 42748-9313
- Phone
- (270) 763-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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