Individual
MELISSA G HANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 LANGDON ST, SUITE 1, SOMERSET, KY 42503-2786
(606) 678-8155
(606) 678-7548
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40964
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11691837
CAQH
—
05
—
7100045740
—
KY
Enumeration date
06/18/2007
Last updated
05/15/2023
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