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1508115007
KRISTIE HACK
PADUCAH, KY
NPI
1508115007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3007649)
Enumeration Date
2012-08-30
Last Update Date
2015-01-22
Business Address
-- KRISTIE HACK APRN
1532 LONE OAK RD SUITE 310
PADUCAH, KY 42003-7942
Phone number: 270-443-0777
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Mailing Address
-- KRISTIE HACK APRN
PO BOX 636961
CINCINNATI, OH 45263-6961
Phone number: 513-981-5130
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