Individual
MOLLY ANNE HAZELBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-5465
(859) 363-2200
Mailing address
4187 S GENSEN LOOP, CINCINNATI, OH 45245-7066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006634
OH
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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