Individual
ADRIAN R O'HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E GRAY ST, STE 1000, LOUISVILLE, KY 40202-3906
(502) 629-8830
(502) 629-7540
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 629-8830
(502) 629-7540
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
43400
KY
2080P0214X
Pediatric Pulmonology Physician
Primary
43400
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200985480
—
IN
05
—
7100117330
—
KY
Enumeration date
03/29/2006
Last updated
01/05/2015
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