=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730201146
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN HADLEY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/05/2007
-----------------------------------------------------
Last Update Date | 03/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2500 COLBY RD
-----------------------------------------------------
City | WINCHESTER
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40391-8271
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-340-2476
-----------------------------------------------------
Fax | 859-577-7380
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 113 HOPEWELL DR
-----------------------------------------------------
City | PARIS
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40361-2112
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-340-2476
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | KY-1842
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------