Individual
DR. DAVID RYAN HOGANCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 KENTUCKY AVE STE 304, PADUCAH, KY 42003-3802
(270) 415-7050
(270) 415-7051
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 589-6788
(502) 589-5093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47895
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201296410
—
IN
05
—
7100259890
—
KY
Enumeration date
04/12/2012
Last updated
11/19/2020
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