Provider Demographics
NPI:1902505654
Name:HAMBLEN, HILLARY
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:HAMBLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 HALLS LN
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-6274
Mailing Address - Country:US
Mailing Address - Phone:502-649-5307
Mailing Address - Fax:
Practice Address - Street 1:1411 HALLS LN
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-6274
Practice Address - Country:US
Practice Address - Phone:502-649-5307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker