Individual
HAZEL L JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
611 W POPLAR ST, ELIZABETHTOWN, KY 42701-2431
(270) 704-3599
Mailing address
PO BOX 757, ELIZABETHTOWN, KY 42702-0757
(270) 704-3599
(270) 731-0261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
38878
KY
208600000X
Surgery Physician
38878
KY
208D00000X
General Practice Physician
Primary
38878
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00731001
MEDICARE INDIVIDUAL NUMBER
KY
Enumeration date
05/04/2006
Last updated
04/15/2023
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