Individual
DR. KENNON H HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 S 4TH ST, GADSDEN, AL 35901-5223
(251) 460-0326
(251) 460-2846
Mailing address
820 S 4TH ST, GADSDEN, AL 35901-5223
(256) 549-0008
(256) 549-0401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17729
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009975445
—
AL
01
—
510000141
BC BS OF AL
AL
01
—
P00184774
MEDICARE RAILROAD
AL
Enumeration date
11/10/2005
Last updated
02/20/2020
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