Individual
DR. PATRICK JAMES HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 N GRAND AVE, SUITE 103, FORT THOMAS, KY 41075-4107
(859) 572-3031
(859) 572-3045
Mailing address
40 N GRAND AVE, SUITE 103, FORT THOMAS, KY 41075-4107
(859) 572-3031
(859) 572-3045
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
47927
KY
207Y00000X
Otolaryngology Physician
T2320
MS
207YP0228X
Pediatric Otolaryngology Physician
47927
KY
207YX0602X
Otolaryngic Allergy Physician
47927
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47927
MEDICAL LICENSE
KY
01
—
T2320
MEDICAL LICENSE
MS
Enumeration date
07/01/2010
Last updated
04/30/2018
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