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Individual
DR. TIMOTHY D HANNA
Active
Individual
DR. TIMOTHY D HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00382
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300041548
—
IN
05
—
7100322590
—
KY
Enumeration date
07/14/2011
Last updated
08/21/2020
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