Individual
WILLIAM H HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 MERIDIAN AVE, LOUISVILLE, KY 40207-3850
(502) 893-0495
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25305
KY
208000000X
Pediatrics Physician
216827
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64253057
—
KY
Enumeration date
09/27/2006
Last updated
07/25/2017
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