Provider Demographics
NPI:1851631741
Name:FIELD, HARDIN V (CAC)
Entity Type:Individual
Prefix:
First Name:HARDIN
Middle Name:
Last Name:FIELD
Suffix:V
Gender:M
Credentials:CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 DENNIS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2916
Mailing Address - Country:US
Mailing Address - Phone:859-492-3028
Mailing Address - Fax:
Practice Address - Street 1:105 DENNIS DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2916
Practice Address - Country:US
Practice Address - Phone:859-492-3028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAC062171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist