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Individual

ANN MARIE HEMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
117 WEST SOUTH STREET, MUNFORDVILLE, KY 42765
(270) 524-7231
(270) 524-7415
Mailing address
PO BOX 579, MUNFORDVILLE, KY 42765
(270) 524-7231
(270) 524-7415

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34970
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000066277
ANTHUM BCBS
KY
01
1108056
PASSPORT MEDICAID MGDCARE
05
64394703
KY
Enumeration date
04/20/2006
Last updated
12/11/2013
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