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Individual

WILLIAM DOUGLAS HACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4856 PLEASANT GROVE ROAD, LEXINGTON, KY 40515
(859) 245-3726
(859) 245-6083
Mailing address
4856 PLEASANT GROVE ROAD, LEXINGTON, KY 40515
(859) 245-3726
(859) 245-6083

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16824
KY

Other

Enumeration date
05/01/2015
Last updated
05/01/2015
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