Organization
TERRY M. HAGAN MD
Active
Organization
TERRY M. HAGAN MD
Active
Other names
Hagan Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HAGAN (OFFICE MANAGER)
(502) 326-3011
Entity
Organization
Contact information
Practice address
4010 DUPONT CIR STE 202, LOUISVILLE, KY 40207-4812
(502) 326-3011
(502) 324-4577
Mailing address
4010 DUPONT CIR STE 202, LOUISVILLE, KY 40207-4812
(502) 326-3011
(502) 324-4577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
21595
KY
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64215957
—
KY
Enumeration date
08/09/2017
Last updated
07/21/2022
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