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Organization

DR. GREGORY B. HAGEDORN, OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAN M RUTHERFORD (OFFICE MANAGER)
(270) 826-1500
Entity
Organization

Contact information

Practice address
1413 N ELM ST, SUITE 102, HENDERSON, KY 42420-2768
(270) 826-1500
(270) 827-0757
Mailing address
PO BOX 577, HENDERSON, KY 42419-0577
(270) 826-1500
(270) 827-0757

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1016DT
KY

Other

Enumeration date
01/29/2008
Last updated
04/27/2009
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