Individual
DENNIS KEITH HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COBBLER
Contact information
Practice address
1240 E JOHN ROWAN BLVD, BARDSTOWN, KY 40004-2066
(502) 349-7119
Mailing address
1240 E JOHN ROWAN BLVD, BARDSTOWN, KY 40004-2066
(502) 349-7119
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362306
BCBS
KY
01
—
50009643
PASSPORT
KY
05
—
90011388
—
KY
Enumeration date
05/30/2006
Last updated
01/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us