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Organization
HANNA ANKLE & FOOT
Active
Organization
HANNA ANKLE & FOOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D HANNA DPM (OWNER)
(502) 365-1899
Entity
Organization
Contact information
Practice address
3901 DUTCHMANS LN STE 104, LOUISVILLE, KY 40207-4726
(502) 365-1899
Mailing address
3901 DUTCHMANS LN STE 104, LOUISVILLE, KY 40207-4726
(502) 365-1899
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00382
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300041526
—
IN
05
—
7100561550
—
KY
05
—
7100646070
—
KY
Enumeration date
07/02/2018
Last updated
08/21/2020
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