Individual
DR. HOPE HAVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
990 WILKINSON TRCE, BOWLING GREEN, KY 42103-3404
(270) 782-4746
(270) 783-0453
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 782-4746
(270) 783-0453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36368
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64029358
—
KY
Enumeration date
06/09/2005
Last updated
01/29/2019
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