Organization
WILLIAM H HANEY MD PLLC ULTIMATE MD
Active
Other names
Ultimate MD
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SCHOENBAECHLER (CREDENTIALING SUPPORT)
(502) 220-8437
Entity
Organization
Contact information
Practice address
125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 897-6568
(502) 890-3510
Mailing address
125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 897-6568
(502) 890-3510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25305
KY
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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