Individual
HASSAN HAIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2402 RIDGESTONE DR, ELIZABETHTOWN, KY 42701-5549
(270) 505-9838
Mailing address
2402 RIDGESTONE DR, ELIZABETHTOWN, KY 42701-5549
(270) 505-9838
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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