Individual
JOHN H HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 W BROADWAY, LOUISVILLE, KY 40202-2110
(502) 772-8662
(502) 996-8309
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 969-6552
(502) 212-1358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16791
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365642
ANTHEM
KY
01
—
000023025G
HUMANA - CMA
KY
01
—
060947
SIHO - CMA
KY
01
—
1202726
CHA
KY
01
—
2448314000
PASSPORT ADVTG - CMA
KY
01
—
2525362
CIGNA - CMA
KY
01
—
50007141
PASSPORT - CMA
KY
05
—
64167919
—
KY
Enumeration date
04/20/2006
Last updated
07/24/2024
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