Individual
DR. KYLE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-6980
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-6980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11022517A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2022
Last updated
09/15/2022
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