Kim Hasty in Maryville - Professional

Kim Hasty - NPI 1780693515

Kim Hasty is a Professional in Maryville, Illinois. Kim Hasty practices all healthcare services and medical treatments related to Professional. The NPI Number for Kim Hasty is 1780693515. The last update date is 2007-07-08.

Kim Hasty's current location address is 20 Professional Park Dr # A, Maryville, Illinois. You can contact this provider via phone number 6182888787 and fax number 6182880737. The mailing address for Kim Hasty is 20 Professional Park Dr # A, Maryville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Hasty
Address 20 Professional Park Dr # A, Maryville, Illinois
Phone Number 6182888787
Fax Number 6182880737
Sole Proprietor N
Credentials M.S., LCPC

NPI Number Detail

NPI Number 1780693515
Provider Enumeration Date 2006-08-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 20 Professional Park Dr # A
City Maryville
State Illinois (IL)
Post Code 620625669
Phone Number 6182888787
Fax Number 6182880737

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Kim Hasty

What is the Kim Hasty's 1780693515?

The Kim Hasty's NPI (National Provider Identifier) Number is 1780693515. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kim Hasty is physically located?

The Kim Hasty is physically situated at the following address: 20 Professional Park Dr # A, Maryville, IL, 620625669.

What is Kim Hasty's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kim Hasty's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780693515 to Kim Hasty?

The Kim Hasty received its 1780693515 assignment from the Centers for Medicare & Medicaid Services on 2006-08-08.

As of what date was the information regarding Kim Hasty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kim Hasty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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