person
Dennis Keith Hagan, COBBLER
Customized Equipment (DME) in Bardstown, Kentucky
NPI 1144277468

Dennis Keith Hagan is a Customized Equipment (DME) based in Bardstown, KY and is specialized in Customized Equipment. Dennis Keith Hagan practices in Bardstown, KY and has the professional credentials of COBBLER. The NPI Number for Dennis Keith Hagan is 1144277468 and holds a License No. (Kentucky).

The current practice location address for Dennis Keith Hagan is 1240 E John Rowan Blvd, Bardstown, KY and can be reached out via phone at 502-349-7119.

Location: 1240 E John Rowan Blvd, Bardstown, KY, 40004-2066
person
Provider Profile Details
NPI Number
1144277468
Provider Name
Dennis Keith Hagan
Credential
COBBLER
Provider Entity Type
Individual
Gender
Male
Address
1240 E John Rowan Blvd, Bardstown, KY, 40004-2066
Phone Number
502-349-7119
Fax Number
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
90011388 05 KY
000000362306 01 KY BCBS
50009643 01 KY PASSPORT
institution
Provider Business Practice Location Address Details
Address
1240 E John Rowan Blvd
City
State
Zip
40004-2066
Phone Number
502-349-7119
Fax Number
person
Provider Business Mailing Address Details
Address
1240 E John Rowan Blvd
City
State
Zip
40004-2066
Phone Number
502-349-7119
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
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