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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