Provider Demographics
NPI:1093336067
Name:HAHTO, KEITH (GC)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:
Last Name:HAHTO
Suffix:
Gender:M
Credentials:GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8720 PARK LAUREATE DR APT 12
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-7023
Mailing Address - Country:US
Mailing Address - Phone:509-768-0216
Mailing Address - Fax:
Practice Address - Street 1:3999 DUTCHMANS LN STE 1A
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4741
Practice Address - Country:US
Practice Address - Phone:502-899-3366
Practice Address - Fax:502-899-6686
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS