Hartley, Kevin Thomas

Hartley, Kevin Thomas is an sole proprietor health care provider with primary practice located at 111 Vandament Way , Mount Orab OH 45154-8311. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hartley, Kevin Thomas can be contacted via phone (513) 454-7246.

Contact Information

Primary practice address
111 Vandament Way Mount Orab OH 45154-8311
Phone: (513) 454-7246
Fax: (513) 438-0202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3014140 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F10190856 Ohio

Profile Details

NPI number 1396375952
LBN Legal business name Hartley, Kevin Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2020
Last updated Dec 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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