Individual
HANNAH THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 23RD ST STE 105, ASHLAND, KY 41101-2890
(606) 408-7500
(606) 408-6600
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-9564
(606) 408-6061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009624RX
OH
Other
Enumeration date
08/13/2025
Last updated
08/26/2025
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