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Individual

FRANCES KEVIN HACKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
745 W STATE ST, SUITE 750, COLUMBUS, OH 43222-1515
(614) 224-2281
(614) 221-8869
Mailing address
4839 STONEHAVEN DR, COLUMBUS, OH 43220-2873
(614) 326-1703

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35063045H
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000014615
ANTHEM BCBS
01
060019837
RAILROAD MEDICARE
05
0918458
OH
01
2185
NATIONWIDE
01
2500314
UNITED HEALTHCARE OF OHIO
01
289254
BLACK LUNG
Enumeration date
04/07/2006
Last updated
05/30/2008
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