person
Keanu Irene Hackley
Student in an Organized Health Care Education/Training Program in Louisville, Kentucky
NPI 1164188090

Keanu Irene Hackley is a Student in an Organized Health Care Education/Training Program based in Louisville, KY. Keanu Irene Hackley practices in Louisville, KY. The NPI Number for Keanu Irene Hackley is 1164188090 and holds a License No. (Kentucky).

The current practice location address for Keanu Irene Hackley is 204 E Market St # A, Louisville, KY and can be reached out via phone at 502-588-4340.

Location: 204 E Market St # A, Louisville, KY, 40215-2420
person
Provider Profile Details
NPI Number
1164188090
Provider Name
Keanu Irene Hackley
Credential
Provider Entity Type
Individual
Gender
Female
Address
204 E Market St # A, Louisville, KY, 40215-2420
Phone Number
502-588-4340
Fax Number
Provider Enumeration Date
11/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
204 E Market St # A
City
State
Zip
40202-1218
Phone Number
502-588-4340
Fax Number
person
Provider Business Mailing Address Details
Address
204 E Market St # A
City
State
Zip
40202-1218
Phone Number
502-588-4340
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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