Individual
KENNETH J HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 HIGHWAY 78 E, JASPER, AL 35501-8950
(205) 221-3523
(205) 221-3560
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
000022796
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166634
—
AL
01
—
511-52186
BLUE CROSS
AL
01
—
P01409686
RRMC
AL
Enumeration date
12/14/2005
Last updated
12/30/2015
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