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Individual

AMY SMITH HANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2093 MEDICAL ARTS DR, 1ST FLOOR, HEBRON, KY 41048-9315
(859) 442-6600
(859) 442-6601
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 442-6600
(859) 442-6601

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28915
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200407710
IN
05
2401298
OH
05
64289150
KY
Enumeration date
04/03/2006
Last updated
09/10/2018
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