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Individual

DR. ALLISON R.W. HATMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 896-7660
(502) 896-7661
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4900

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
43088
KY
2086X0206X
Surgical Oncology Physician
0000039695
TN
2086X0206X
Surgical Oncology Physician
Primary
43088
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
638480
ANTHEM
KY
05
7100056340
KY
Enumeration date
01/04/2007
Last updated
12/09/2020
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