Individual
MRS. KARAN SUE HACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PENWOOD RD, LAKESIDE PARK, KY 41017-2124
(859) 250-5105
Mailing address
201 PENWOOD RD, LAKESIDE PARK, KY 41017-2124
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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