Individual
MICHAEL D HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-5956
(859) 323-1080
Mailing address
2288 GUNBARREL RD STE 111 PMB 237, CHATTANOOGA, TN 37421-2670
(412) 337-0283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1105174
KY
367500000X
Certified Registered Nurse Anesthetist
08204
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
3004468
KY
367500000X
Certified Registered Nurse Anesthetist
3291412
FL
367500000X
Certified Registered Nurse Anesthetist
RN356726L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542747
ANTHEM
—
05
—
200519280
—
IN
05
—
2484815
—
OH
01
—
70965
COUNCIL OF RECERT OF NA #
PA
05
—
7401086900
—
KY
01
—
9487921
PHCS
—
Enumeration date
04/12/2006
Last updated
04/29/2024
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