Individual
EMILY DIANE HOGANCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 257-3573
(859) 323-0096
Mailing address
740 S LIMESTONE SUITE E101, LEXINGTON, KY 40536-0293
(859) 257-5270
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
58294
KY
208100000X
Physical Medicine & Rehabilitation Physician
TP568
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
R4739
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
03/26/2018
Last updated
10/25/2023
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