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Individual

JENNIFER K HAGENSCHNEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
211 KY 59, VANCEBURG, KY 41179-7647
(606) 796-3029
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-3029
(844) 474-7624

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
32715
WV
2085R0202X
Diagnostic Radiology Physician
35.085909
OH
2085R0202X
Diagnostic Radiology Physician
Primary
39945
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0082776
OH
05
1447221890
WV
05
7100065210
KY
Enumeration date
02/01/2006
Last updated
11/19/2024
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