Individual
CHARLES D HOGANCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1532 LONE OAK RD, SUITE 415, PADUCAH, KY 42003-7913
(270) 442-0103
(270) 442-0109
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21464
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028189499
DEPT OF LABOR
—
05
—
64214646
—
KY
01
—
P00919787
RR MEDICARE
KY
Enumeration date
08/16/2006
Last updated
03/18/2015
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