Individual
JACOB BERNARD HANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-4700
(270) 417-4709
Mailing address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-4700
(270) 417-4709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54016
KY
Other
Enumeration date
06/20/2017
Last updated
06/23/2020
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