Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34.011969 | OH |
N | 111NI0900X | Internist | 34.011969 | OH |
Y | 207RG0300X | Geriatric Medicine | 355865 | KY |
NPI | 1104192889 |
---|---|
Provider Name | Rachel Nicole Hart |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40241-2849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2012 |
Last Update Date | 02/11/2021 |