Individual
BRIDGETT HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1178 HERNDON RD, LAWRENCEBURG, KY 40342-9421
(502) 680-4647
Mailing address
1178 HERNDON RD, LAWRENCEBURG, KY 40342-9421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
122769
KY
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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