Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kaleb Hart, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1063808228

Mr. Kaleb Hart, PHYSICIANASSISTANT is a Physician Assistant in Millington, Tennessee. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

5722 Integrity Dr
Millington, TN 38054-5028
Phone: (901) 874-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NC)

Record details

NPI number1063808228
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedApril 14, 2015
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

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