Kenneth D Hasty, O.D.
Optometrist in Shelbyville, TN. Individual provider (NPI-1).
NPI number1164568556
StatusActive
Last updated in NPPESApr 22, 2008
Details
- NPI
- 1164568556
- Entity type
- Individual (NPI-1)
- Name
- Kenneth D Hasty
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2007
- Last updated
- Apr 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1018 | TN | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 0752740001 | TN |
Practice location
605 N Main StShelbyville, TN 37160-3210
Phone 931-684-2020 · Fax 931-684-7000
Mailing address
605 N Main StShelbyville, TN 37160-3210
Phone 931-684-2020 · Fax 931-684-7000
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All 10 Optometrist providers in Shelbyville · All 505 providers in Shelbyville
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