Individual
RANCIE WAYNE HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 SAINT CHRISTOPHER DR, SUITE 250, ASHLAND, KY 41101-7087
(606) 836-3196
(606) 836-2564
Mailing address
1101 SAINT CHRISTOPHER DR, SUITE 250, ASHLAND, KY 41101-7087
(606) 836-3196
(606) 836-2564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36544
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000199568
BLUE CROSS BLUE SHIELD
—
05
—
2204836
—
OH
05
—
64044704
—
KY
Enumeration date
07/07/2005
Last updated
10/17/2012
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