Individual
MICHAEL DALE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
K-322 KENTUCKY CLINIC, LEXINGTON, KY 40536-0284
(859) 032-3671
Mailing address
K-322 KENTUCKY CLINIC, LEXINGTON, KY 40536-0284
(859) 032-3671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19538
KY
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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