Individual
KEITH W HAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 CHARLOTTE AVE, NASHVILLE, TN 37209-4035
(615) 250-9200
(615) 250-9251
Mailing address
2801 CHARLOTTE AVE, NASHVILLE, TN 37209-4035
(615) 250-9200
(615) 250-9251
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD7894
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006095
BLUE CROSS
TN
05
—
3173097
—
TN
05
—
64742182
—
KY
Enumeration date
01/09/2006
Last updated
07/08/2007
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