Individual
DR. BILL JUNIOR HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 ESTILL ST FL 4, BEREA, KY 40403-1909
(859) 986-2343
(859) 986-2344
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 986-2344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52643
KY
207R00000X
Internal Medicine Physician
Primary
R4084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100501920
—
KY
Enumeration date
04/20/2016
Last updated
04/23/2026
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