Individual
CALLIE J HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 259-9512
Mailing address
1020 N MAIN ST, BEAVER DAM, KY 42320-1553
(270) 274-0480
(270) 274-0482
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3012882
KY
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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